Individual provider Active NPI

Nicole Dumas, DPT

  • Physical Therapist
  • Worcester, MA
National Provider Identifier
1215190251
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20068 Issued in MA
Practice address
65 James St Ste 12
Worcester, MA 01603-1035
Phone
(508) 863-4792
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 20068 MA Primary

Addresses

Primary practice location

65 James St Ste 12
Worcester, MA 01603-1035

Mailing address

4 Deer Hill Rd
North Oxford, MA 01537-1167
Phone (508) 863-4792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20068MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Sports Therapy Inc. Physical Therapist CurrentSince May 1, 2022 Accepting new patients
The Boston Spine Group LLC Physical Therapist PastSince Mar 15, 2010 Accepting new patients
Boston Spine Group, LLC. Past Accepting new patients

Locations

65 James St
Ste 12
Worcester, MA 01603
Phone (508) 863-4792

Organizations & group practices 3

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1215190251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DEER HILL RD",
            "city": "NORTH OXFORD",
            "state": "MA",
            "postal_code": "015371167",
            "telephone_number": "508-863-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 JAMES ST STE 12",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031035",
            "telephone_number": "508-863-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMAS",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.