Active NPI
Michael Roger Garrett, MSC HONS P.T.
- Sports Physical Therapist
- Nantucket, MA
National Provider Identifier
1225098544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 17468
- Practice address
- 23 W Chester St
Apartment 5
Nantucket, MA 02554-3680 - Phone
- (508) 680-1276
- Fax
- (508) 680-1427
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 17468 | MA | Primary |
Addresses
Primary practice location
23 W Chester St
Apartment 5
Nantucket, MA 02554-3680
Mailing address
23 W Chester St
Apartment 5
Nantucket, MA 02554-3680
Phone (508) 680-1276
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650041 | Other | MA | TUFTS |
| 17468 | Other | MA | MEDICAL LICENSE |
| Y68819 | Other | MA | BLUE CROSS OF MA |
| 7261 | Other | CO | MEDICAL LICENSE |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physioworks, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Nantucket, MA
- NPI 1932355336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256083200000",
"number": "1225098544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 W CHESTER ST",
"address_2": "APARTMENT 5",
"city": "NANTUCKET",
"state": "MA",
"postal_code": "025543680",
"telephone_number": "508-680-1276",
"fax_number": "508-608-1427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 W CHESTER ST",
"address_2": "APARTMENT 5",
"city": "NANTUCKET",
"state": "MA",
"postal_code": "025543680",
"telephone_number": "508-680-1276",
"fax_number": "508-680-1427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "MICHAEL",
"middle_name": "ROGER",
"name_prefix": "Mr.",
"credential": "MSC HONS P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2009-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "MA",
"license": "17468",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "650041",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "17468",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MA",
"identifier": "Y68819",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "7261",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nantucket, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.