Organization Active NPI

Momentum Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Milford, MA
National Provider Identifier
1265674105
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MOMENTUM PHYSICAL THERAPY, INC.
Practice address
141 Main Street
Milford, MA 01757
Phone
(508) 422-0101
Fax
(508) 422-0102
NPI assigned
Mar 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Authorized official

Name
Ms. Kristin Mohr, MSPTNPI 1205803806
Title
Owner, Vice President
Phone
(508) 422-0101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

141 Main Street
Milford, MA 01757

Mailing address

141 Main Street
Milford, MA 01757
Phone (508) 422-0101

Other identifiers 5

IdentifierTypeStateIssuer
AA148230OtherMAHARVARD PILGRIM HEALTH CARE
652395OtherMATUFTS HEALTH PLAN
9903359OtherAETNA
0013793OtherMAMEDICARE PTAN
Y61564OtherMABCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091208000198 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4486793221 Receives reassigned benefits from 4 practitioners
Practice locations: Milford, MA

National Provider Directory

National Provider Directory

Locations

577 Main St
Ste 310
Hudson, MA 01749
Phone (508) 740-5229

141 Main St
Milford, MA 01757
Phone (508) 422-0101

322 Weston Rd
Wellesley, MA 02482
Phone (508) 422-0101

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1265674105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 MAIN STREET",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "01757",
            "telephone_number": "508-422-0101",
            "fax_number": "508-422-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MAIN STREET",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "01757",
            "telephone_number": "508-422-0101",
            "fax_number": "508-422-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "MOHR",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER, VICE PRESIDENT",
        "authorized_official_telephone_number": "508-422-0101",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CARE",
            "identifier": "AA148230",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "652395",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9903359",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0013793",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y61564",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.