Alicia Cecchini, PT
Individual provider Active NPI Physical Therapist · Boylston, MA
NPI 1285409649 · NPPES record last updated Nov 16, 2023
Key facts
- NPI
- 1285409649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PTL27280 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ethos Rehabilitation Inc
Practice addresses (Care Compare)
81 Shrewsbury St
Suite 1
Boylston, MA 01505-1701
Phone (774) 614-1322
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240621001028 | MA | Practitioner - Physical Therapist in Private Practice | 2062955867 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL27280 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ethos Rehabilitation Inc | Physical Therapist | Current |
Accepting new patients |
Locations
81 Shrewsbury St
Ste 1
Boylston, MA 01505
Phone (774) 614-1322
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL27280 | MA | Yes |
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
Other providers in Boylston, MA
- Berlin Boylston Regional School District
- Lynn Botsaris
- Boylston Dental Associates
- Megan Burke
- Jonila Buzzell
- Miriam Chouki
- Kali Dipilla
- Christina Dono
- Jen Ellis
- Ethos Rehabilitation Inc
All providers in Boylston, 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 Nov 16, 2023. 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.