Active NPI
Donna Durocher, PT
- Physical Therapist
- East Longmeadow, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5320
- Practice address
- 168 Denslow Road
East Longmeadow, MA 01028 - Phone
- (413) 526-9924
- Fax
- (413) 526-9961
- NPI assigned
- Oct 10, 2006
- Last updated
- May 12, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5320 | MA | Primary |
Addresses
Primary practice location
168 Denslow Road
East Longmeadow, MA 01028
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222
Other identifiers 26
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043527 | Other | MA | CONNECTICARE GROUP NO |
| 043527497 | Other | AETNA GROUP NO | |
| 043527497 | Other | MA | CIGNA GROUP NO |
| 043527497 | Other | MA | NORTH REGIONS |
| 337847 | Other | MA | TUFTS INDIVIDUAL NO |
| 043527497 | Other | MA | PIONEER |
| 080005320MA07 | Other | ANTHEM BCBS | |
| P00420770 | Other | MA | PALMETTO RR MEDICARE |
| 043527497 | Other | MA | GREATWEST |
| 080005320MA06 | Other | ANTHEM BCBS | |
| 9715568 | Medicaid | MA | |
| 000000035324 | Other | MA | BOSTON MEDICAL HEALTH NET |
| 043527497 | Other | MA | UNITED HEALTH CARE |
| 11539624 | Other | CAQH | |
| 690675 | Other | MA | TUFTS GROUP NO |
| 28117 | Other | MA | HEALTH NEW ENGLAND GROUP NO |
| 972730 | Other | MA | NETWORK HEALTH GROUP |
| Y65488 | Other | BLUE CROSS BLUE SHIELD INDIDUAL NO | |
| 000000035257 | Other | MA | BOSTON MEDICAL HEALTHNET GROUP NO |
| 043527497 | Other | MA | CONSOLIDATE HEALTH PLANS |
| 043527497 | Other | MA | GIC/UNICARE |
| 1587870 | Other | MA | CIGNA INDIVIDUAL NO |
| 103355100 | Other | MA | DEPARTMENT OF LABOR |
| Y61264 | Other | MA | BLUE CROSS BLUE SHIELD GROUP NO |
| 0704709 | Medicaid | MA | |
| 4265439 | Other | AETNA INDIVIDUAL NO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Birnie Ave
Suite 304
Springfield, MA 01107-1121
Phone (413) 781-1054
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.19 of 100
- Quality
- 86.04
- Improvement activities
- 40
- Cost
- 76.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5320 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418
101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703
168 Denslow Rd
East Longmeadow, MA 01028
Phone (413) 526-9924
1160 Dickinson St
Springfield, MA 01108
Phone (413) 234-3198
300 Birnie Ave
Ste 304
Springfield, MA 01107
Phone (413) 781-1054
348 Cooley St
Unit 10
Springfield, MA 01128
Phone (413) 355-5700
1111 Elm St
Ste 33
West Springfield, MA 01089
Phone (413) 781-1054
65 Springfield Rd
Ste 6
Westfield, MA 01085
Phone (413) 536-1388
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ATI Physical Therapy of Western Massachusetts
- Physical Therapist
- West Springfield, MA
- NPI 1710919063
-
dba ATI Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Wilbraham, MA
- NPI 1376140566
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494547200000",
"number": "1225126113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2222",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 DENSLOW ROAD",
"city": "EAST LONGMEADOW",
"state": "MA",
"postal_code": "01028",
"telephone_number": "413-526-9924",
"fax_number": "413-526-9961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUROCHER",
"first_name": "DONNA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2017-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "5320",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE GROUP NO",
"identifier": "043527",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA GROUP NO",
"identifier": "043527497",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA GROUP NO",
"identifier": "043527497",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH REGIONS",
"identifier": "043527497",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS INDIVIDUAL NO",
"identifier": "337847",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIONEER",
"identifier": "043527497",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "080005320MA07",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO RR MEDICARE",
"identifier": "P00420770",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREATWEST",
"identifier": "043527497",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "080005320MA06",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9715568",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOSTON MEDICAL HEALTH NET",
"identifier": "000000035324",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "043527497",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11539624",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS GROUP NO",
"identifier": "690675",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND GROUP NO",
"identifier": "28117",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH GROUP",
"identifier": "972730",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD INDIDUAL NO",
"identifier": "Y65488",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOSTON MEDICAL HEALTHNET GROUP NO",
"identifier": "000000035257",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONSOLIDATE HEALTH PLANS",
"identifier": "043527497",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GIC/UNICARE",
"identifier": "043527497",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA INDIVIDUAL NO",
"identifier": "1587870",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LABOR",
"identifier": "103355100",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD GROUP NO",
"identifier": "Y61264",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0704709",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INDIVIDUAL NO",
"identifier": "4265439",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Longmeadow, MA
- Lauren Downes, PT
- Dr. Laurie M. Brown, Pediatric Dentistry, PC (Pediatric Dental Associates)
- Dr. Richard J. Matuszczak P.C.
- Christopher Driscoll, MSW
- Durable Medical Equipment LLC
- Kristen Ally Dutertre, PT, DPT
- East Longmeadow Dental PLLC (Pioneer Pediatrics and Family Dentists)
- East Longmeadow Management Systems Inc (East Longmeadow Skilled Nursing Center)
- East Village Place
- Michelle Edwards, RDN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.