Individual provider Active NPI

Amy Morocco, PT, DPT,MS, ATC, PES

  • Physical Therapist
  • Acton, MA
National Provider Identifier
1205970571
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19928 Issued in MA
Practice address
30 Great Rd
Sports & Physical Therapy Associates
Acton, MA 01720-5684
Phone
(978) 287-6170
Fax
(978) 287-1476
NPI assigned
Feb 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 104-0000127 VT
Physical Therapist 225100000X 009116 CT
Physical Therapist 225100000X 19928 MA Primary

Addresses

Primary practice location

30 Great Rd
Sports & Physical Therapy Associates
Acton, MA 01720-5684

Mailing address

30 Great Rd
Acton, MA 01720-5684
Phone (978) 287-6170

Other identifiers 1

IdentifierTypeStateIssuer
19928OtherMALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110921000092 CT Practitioner - Physical Therapist in Private Practice 4183895238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ptsma IncGroup PAC ID 7911800180, 173 clinicians

Practice addresses (Care Compare)

3 A Candlewood Hill Rd
Higganum, CT 06441-4202
Phone (860) 345-2626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
009116CTMDPhysical Therapist
104-0000127VTMDAthletic Trainer
9116CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ptsma, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Ptsma, Inc. Physical Therapist Current Accepting new patients
Ptsma Inc CurrentSince Sep 1, 2022 Accepting new patients
Connect Physical Therapy, LLC Physical Therapist CurrentSince May 17, 2021 Accepting new patients
Carl Gustafson LLC Physical Therapist Past Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist Past Accepting new patients

Locations

3A Candlewood Hill Rd
Higganum, CT 06441
Phone (860) 345-2622

37 S Broad St
Ste 12
Pawcatuck, CT 06379
Phone (860) 495-1919

777 Echo Lake Rd
Ste 1
Watertown, CT 06795
Phone (959) 209-4318

777 Echo Lake Rd
Unit I
Watertown, CT 06795
Phone (959) 209-4318

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1205970571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 GREAT RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205684",
            "telephone_number": "978-287-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GREAT RD",
            "address_2": "SPORTS & PHYSICAL THERAPY ASSOCIATES",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205684",
            "telephone_number": "978-287-6170",
            "fax_number": "978-287-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOROCCO",
        "first_name": "AMY",
        "credential": "PT, DPT,MS, ATC, PES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VT",
            "license": "104-0000127",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "009116",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "19928",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.