Deepika Bagwe
Individual provider Active NPI Physical Therapist · Melrose, MA
NPI 1275237489 · NPPES record last updated Jun 4, 2024
Key facts
- NPI
- 1275237489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 130 Tremont St Ste 308
Melrose, MA 02176-2255 - Phone
- (909) 913-1093
- NPI assigned
- Mar 30, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Thelos PT LLC
Performance Rehabilitation of Western New England LLC
Practice addresses (Care Compare)
20 Speen St
Suite 101
Framingham, MA 01701-4174
Phone (781) 757-1114
425 Main St
Melrose, MA 02176-3837
Phone (781) 620-4044
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.19 of 100
- Quality
- 86.04
- Improvement activities
- 40
- Cost
- 76.23
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230602001741 | MA | Practitioner - Physical Therapist in Private Practice | 2466819677 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current |
Accepting new patients |
| Thelos PT LLC | Physical Therapist | Current |
Accepting new patients |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current |
Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418
101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703
20 Speen St
Ste 101
Framingham, MA 01701
Phone (781) 757-1114
425 Main St
Melrose, MA 02176
Phone (781) 620-4044
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
130 Tremont St Ste 308
Melrose, MA 02176-2255
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other providers in Melrose, MA
- Jason J Arruda
- Courtney Michelle Moore Ashley
- Jana Tamer Attia
- Canan Avunduk
- Tyler Axelson
- Kristen E Bakis Cook
- Desola-Vasilisa Bamgbala
- Kimberly Bennett Barad
- Chrysta Melanie Barbaro
- Della M Barbato
All providers in Melrose, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.