Worcester Physical Therapy Services, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WORCESTER PHYSICAL THERAPY SERVICES, INC.

Practice address

30 Glennie St
Worcester, MA 01605-3917

Phone

(508) 791-8740

Fax

(508) 752-3716

NPI assigned

Aug 31, 2006

Last updated

Dec 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Ledoux

Title

Practice Manager

Phone

(508) 791-8740

Specialties & licenses 2

Addresses

Other identifiers 9

Electronic endpoints 1

Practitioners 5

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.

• Laurie Beth Brenner, MSPT

  • Physical Therapist
  • Whitinsville, MA
  • NPI 1962421123
  NPD (past)
• Jessica Gauthier, PTA

  • Physical Therapy Assistant
  • Worcester, MA
  • NPI 1902021439
  NPD (past)
• Paul Lee, PTA

  • Physical Therapy Assistant
  • Worcester, MA
  • NPI 1821213745
  NPD (past)
• Deborah L. Page

  • Physical Therapy Assistant
  • Worcester, MA
  • NPI 1528283447
  NPD (past)
• Angela Roy, PTA

  • Physical Therapy Assistant
  • Worcester, MA
  • NPI 1003031964
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1275644270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 GLENNIE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053917",
            "telephone_number": "508-791-8740",
            "fax_number": "508-752-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GLENNIE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053917",
            "telephone_number": "508-791-8740",
            "fax_number": "508-752-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORCESTER PHYSICAL THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "LEDOUX",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "508-791-8740"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "626330",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "64029",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9750983",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "712003",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "981075",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "328820",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "1275644270",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "1275644270",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "Y61038",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Worcester",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Worcester",
            "address_1": "30 Glennie St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016053917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Worcester Pharmacy LLC (Boulevard Pharmaceutical Compounding Center)
• Worcester Physicians and Nurses Services LLC
• Worcester Polytechnic Institute
• Worcester Quality Dental. PC
• Worcester Refugee and Immigrant Support and Empowerment Rise for Health (Worcester RISE for Health)
• Worcester Rehab SNF Operations, LLC (Worcester Rehabilitation & Health Care Center)

• Physical Therapist in Worcester, MA
• Providers in Worcester, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.