Individual provider Active NPI

Marissa Caroline Daly, PT

  • Physical Therapist
  • Bedford, MA
National Provider Identifier
1255070595
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
54 Middlesex Tpke Ste 101L
Bedford, MA 01730-1417
Phone
(781) 229-8011
Fax
(781) 229-8374
NPI assigned
Jun 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

54 Middlesex Tpke Ste 101L
Bedford, MA 01730-1417

Mailing address

54 Middlesex Tpke Ste 101L
Bedford, MA 01730-1417
Phone (781) 229-8011

Other practice location 1

100 Cummings Ctr Ste 121Q
Beverly, MA 01915-6129
Phone (978) 927-0907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220909001153 MA Practitioner - Physical Therapist in Private Practice 7214312313 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burlington Physical Therapy, PC Dba Orthopaedics PlusGroup PAC ID 6406749787, 17 clinicians

Practice addresses (Care Compare)

54 Middlesex Tpke
Suite 101L
Bedford, MA 01730-1417
Phone (781) 229-8011

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
95.5
Improvement activities
40
Cost
75.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26424MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Proex Physical Therapy, LLC CurrentSince Sep 5, 2023 Accepting new patients
Burlington Physical Therapy, PC Dba Orthopaedics Plus Physical Therapist CurrentSince Aug 18, 2022 Accepting new patients
Proex Physical Therapy, LLC Physical Therapist CurrentSince Sep 5, 2023 Accepting new patients
Burlington Physical Therapy, PC, Dba Orthopaedics Plus Physical Therapist CurrentSince Aug 18, 2022 Accepting new patients

Locations

54 Middlesex Tpke
Ste 101L
Bedford, MA 01730
Phone (781) 229-8011

100 Cummings Ctr
Ste 121Q
Beverly, MA 01915
Phone (978) 927-0907

10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999

101 Cambridge St
Burlington, MA 01803
Phone (781) 229-8011

300 Tradecenter
Ste 1650
Woburn, MA 01801
Phone (781) 925-7643

576 Broadhollow Rd
Melville, NY 11747

Organizations & group practices 4

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": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1255070595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MIDDLESEX TPKE STE 101L",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301417",
            "telephone_number": "781-229-8011",
            "fax_number": "781-229-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MIDDLESEX TPKE STE 101L",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301417",
            "telephone_number": "781-229-8011",
            "fax_number": "781-229-8374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Cummings Ctr Ste 121Q",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019156129",
            "country_code": "US",
            "telephone_number": "978-927-0907",
            "fax_number": "978-927-0537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALY",
        "first_name": "MARISSA",
        "middle_name": "CAROLINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.