Individual provider Active NPI

Efosa L Guobadia, DPT

  • Physical Therapist
  • Amherst, MA
National Provider Identifier
1215246145
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
101 University Dr Ste A6
Amherst, MA 01002-2385
Phone
(413) 366-5703
Fax
(413) 992-2019
NPI assigned
Sep 27, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X IL
Physical Therapist 225100000X 27325 MA
Physical Therapist 225100000X MA Primary

Addresses

Primary practice location

101 University Dr Ste A6
Amherst, MA 01002-2385

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

234 Russell St Ste 206
Hadley, MA 01035-3534
Phone (312) 835-0841

Other practice location 2

3214 Greenwood Oak Dr
Peachtree Corners, GA 30092-3510
Phone (312) 835-0841

Other identifiers 1

IdentifierTypeStateIssuer
P01228273OtherILMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220614002054 NY Practitioner - Physical Therapist in Private Practice 0143416941 Reassigns benefits to 2 organizations
I20240410004175 MA Practitioner - Physical Therapist in Private Practice 0143416941 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchor Health Homecare Services IncGroup PAC ID 2163802570, 96 clinicians

Practice addresses (Care Compare)

Brooklyn, NY 11206
Phone (718) 701-7300

101 University Dr
Suite A6
Amherst, MA 01002-2385
Phone (413) 336-5703

234 Russell St
Suite 206
Hadley, MA 01035-3534
Phone (312) 835-0841

Merit-based Incentive Payment System (MIPS)

Final score
85.19 of 100Reported as group
Quality
86.04
Improvement activities
40
Cost
76.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27325MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yk Physical Therapy PLLC Physical Therapist CurrentSince Mar 10, 2022 Accepting new patients
Hampshire Neurology LLC CurrentSince Aug 1, 2024 Accepting new patients
Anchor Health Homecare Services Inc Physical Therapist CurrentSince Aug 5, 2022 Accepting new patients
Ffitt Collective Inc Physical Therapist CurrentSince Jun 14, 2024 Accepting new patients
Dynamicity, LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

234 Russell St
Ste 206
Hadley, MA 01035
Phone (312) 835-0841

958 Nostrand Ave
Brooklyn, NY 11225
Phone (347) 423-9031

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23382/brand/1/csg/1/fhir/r4

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": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1215246145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 UNIVERSITY DR STE A6",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022385",
            "telephone_number": "413-366-5703",
            "fax_number": "413-992-2019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Russell St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Hadley",
            "state": "MA",
            "postal_code": "010353534",
            "country_code": "US",
            "telephone_number": "312-835-0841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3214 Greenwood Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Peachtree Corners",
            "state": "GA",
            "postal_code": "300923510",
            "country_code": "US",
            "telephone_number": "312-835-0841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUOBADIA",
        "first_name": "EFOSA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-27",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "27325",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01228273",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.