NPIMap

Organization Active NPI

Physically Fit Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Norton, MA
National Provider Identifier
1265998470
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSICALLY FIT PHYSICAL THERAPY, INC
Practice address
314 E Main St
Norton, MA 02766-2571
Phone
(857) 222-7504
NPI assigned
Feb 12, 2019
Last updated
Jan 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Authorized official

Name
January Austin, PTNPI 1780930552
Title
Owner/Physical Therapist
Phone
(508) 952-2913

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

314 E Main St
Norton, MA 02766-2571

Mailing address

314 E Main St Unit 2
Norton, MA 02766-2571
Phone (857) 222-7504

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190529001784 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7315280617 Receives reassigned benefits from 3 practitioners
Practice locations: Norton, MA

National Provider Directory

National Provider Directory

Locations

314 E Main St
Unit 2
Norton, MA 02766
Phone (508) 952-2913

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1265998470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E MAIN ST UNIT 2",
            "city": "NORTON",
            "state": "MA",
            "postal_code": "027662571",
            "telephone_number": "857-222-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E MAIN ST",
            "city": "NORTON",
            "state": "MA",
            "postal_code": "027662571",
            "telephone_number": "857-222-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICALLY FIT PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "JANUARY",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "508-952-2913",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.