Individual provider Active NPI

Margo Bossom, DPT

  • Physical Therapist
  • North Andover, MA
National Provider Identifier
1255939195
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25146 Issued in MA
Practice address
231 Sutton St Ste 1C
North Andover, MA 01845-1620
Phone
(978) 685-8059
NPI assigned
Oct 13, 2020
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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 25146 MA Primary

Addresses

Primary practice location

231 Sutton St Ste 1C
North Andover, MA 01845-1620

Mailing address

14 Crowley Rd
Medford, MA 02155-5455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201110000109 MA Practitioner - Physical Therapist in Private Practice 6608286224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT in CadenceGroup PAC ID 5890235949, 3 clinicians

Practice addresses (Care Compare)

350 Pleasant St
Watertown, MA 02472-3100
Phone (617) 618-3154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25146MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT in Cadence Physical Therapist CurrentSince Feb 3, 2025 Accepting new patients
Therafit-Tewksbury, Inc. Physical Therapist PastSince Oct 19, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1255939195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CROWLEY RD",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 SUTTON ST STE 1C",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451620",
            "telephone_number": "978-685-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSOM",
        "first_name": "MARGO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.