Active NPI
John Alexander Wallington, M.D.
- Physical Medicine & Rehabilitation Physician
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 283962
- Practice address
- 110 Liberty St
Brockton, MA 02301-5674 - Phone
- (508) 565-3055
- Fax
- (508) 894-0757
- NPI assigned
- May 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 4301107103 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301107103 | MI | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 283962 | MA | Primary |
Addresses
Primary practice location
110 Liberty St
Brockton, MA 02301-5674
Mailing address
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000
Other practice location 1
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- University of Toledo College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1411 S Potomac St
350 Coc Arapahoe Sports Medicine and Rehab
Aurora, CO 80012-4543
Phone (303) 695-6060
2430 Research Pkwy
Colorado Springs, CO 80920-1093
4700 Hale Pkwy
Suite 550
Denver, CO 80220-4053
Phone (303) 321-6600
8101 E Lowry Blvd
Denver, CO 80230-7195
Phone (303) 344-9090
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 43.24 of 100
- Quality
- 73.53
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 70.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Centers of Colorado, LLC | Current | Accepting new patients | |
| Orthopedic Centers of Colorado, LLC | Current | Accepting new patients |
Locations
1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134
4700 Hale Pkwy
Ste 550
Denver, CO 80220
Phone (303) 321-6600
8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998
Interoperability endpoints
- johnwallington@occllc.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Denver, CO
- NPI 1801339502
-
- Orthopaedic Surgery Physician
- Superior, CO
- NPI 1336870856
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Denver, CO
- NPI 1023062098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1265819577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 CENTRE ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023023308",
"telephone_number": "508-941-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LIBERTY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023015674",
"telephone_number": "508-565-3055",
"fax_number": "508-894-0757"
}
],
"practiceLocations": [
{
"address_1": "3601 W 13 Mile Rd",
"address_purpose": "LOCATION",
"city": "Royal Oak",
"state": "MI",
"postal_code": "480736712",
"country_code": "US",
"telephone_number": "248-898-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALLINGTON",
"first_name": "JOHN",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-06",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "4301107103",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4301107103",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MA",
"license": "283962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.