Individual provider Active NPI

Alicia Cecchini, PT

  • Physical Therapist
  • Boylston, MA
National Provider Identifier
1285409649
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL27280 Issued in MA
Practice address
81 Shrewsbury St Ste 1
Boylston, MA 01505-1701
Phone
(774) 614-1322
Fax
(774) 614-1171
NPI assigned
Nov 16, 2023
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL27280 MA Primary

Addresses

Primary practice location

81 Shrewsbury St Ste 1
Boylston, MA 01505-1701

Mailing address

PO Box 1110
Boylston, MA 01505-1810
Phone (774) 614-1322

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240621001028 MA Practitioner - Physical Therapist in Private Practice 2062955867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ethos Rehabilitation IncGroup PAC ID 3072990068, 2 clinicians

Practice addresses (Care Compare)

81 Shrewsbury St
Suite 1
Boylston, MA 01505-1701
Phone (774) 614-1322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ethos Rehabilitation Inc Physical Therapist CurrentSince May 1, 2024 Accepting new patients

Locations

81 Shrewsbury St
Ste 1
Boylston, MA 01505
Phone (774) 614-1322

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1285409649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1110",
            "city": "BOYLSTON",
            "state": "MA",
            "postal_code": "015051810",
            "telephone_number": "774-614-1322",
            "fax_number": "774-614-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 SHREWSBURY ST STE 1",
            "city": "BOYLSTON",
            "state": "MA",
            "postal_code": "015051701",
            "telephone_number": "774-614-1322",
            "fax_number": "774-614-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECCHINI",
        "first_name": "ALICIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL27280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boylston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.