NPIMap

Individual provider Active NPI

Mark Greenberg, PT

  • Physical Therapist
  • Milford, MA
National Provider Identifier
1285689927
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15483 Issued in MA
Practice address
37 Birch St
Milford, MA 01757
Phone
(508) 473-0862
Fax
(508) 473-3229
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 15483 MA Primary

Addresses

Primary practice location

37 Birch St
Milford, MA 01757

Mailing address

37 Birch St
Milford, MA 01757-5501
Phone (508) 473-0862

Other practice location 1

31 Union Ave
Sudbury, MA 01776
Phone (978) 443-2952

Other identifiers 1

IdentifierTypeStateIssuer
15483OtherMAPT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15483MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Lifestyles Inc. Physical Therapist Past Accepting new patients
Bodyworks Physical Therapy Management, Inc Physical Therapist Past Accepting new patients
Body Works Physical Therapy Physical Therapist Past Accepting new patients
Connections Physical Therapy Inc Physical Therapist PastSince Aug 1, 2007 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1285689927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BIRCH ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017575501",
            "telephone_number": "508-473-0862",
            "fax_number": "508-473-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BIRCH ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "01757",
            "telephone_number": "508-473-0862",
            "fax_number": "508-473-3229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Sudbury",
            "state": "MA",
            "postal_code": "01776",
            "country_code": "US",
            "telephone_number": "978-443-2952",
            "fax_number": "978-443-4659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "MARK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "15483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT",
            "identifier": "15483",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.