Maurice Patrick Disley IV, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23162 Issued in MA

Practice address

241 Russell St
Hadley, MA 01035-9558

Phone

(413) 586-5552

Fax

(413) 586-3330

NPI assigned

Aug 8, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Elevation Physical Therapy & Performance PLLC Maurice Disley Sole MBR

  • Physical Therapy Clinic/Center
  • Ludlow, MA
  • NPI 1194549105
  NPD Authorized official
• Aegis Health Partners, P.C.

  dba Aegis Chiropractic & Physical Therapy

  • Chiropractor
  • Hadley, MA
  • NPI 1588853477
  NPD (past)

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225553548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 RUSSELL ST",
            "city": "HADLEY",
            "state": "MA",
            "postal_code": "010359558",
            "telephone_number": "413-586-5552",
            "fax_number": "413-586-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 RUSSELL ST",
            "city": "HADLEY",
            "state": "MA",
            "postal_code": "010359558",
            "telephone_number": "413-586-5552",
            "fax_number": "413-586-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISLEY",
        "first_name": "MAURICE",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy H Decou, PHD LICSW
• Michelle Dedon, FNP
• Joey Deamer Dehais, LICSW
• John Diggins, MD
• Rebekah B Diky, PA
• Kiamesha Dolson, LMSW
• Brigid Donnellan, MSW, LCSW
• Paul Doud, LMFT
• Edward Smola DMD
• Bradford Eichwald, D.C.

• Physical Therapist in Hadley, MA
• Providers in Hadley, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.