Individual provider Active NPI

Regina Rivard, DPT

  • Physical Therapist
  • Southwick, MA
National Provider Identifier
1295214161
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23796 Issued in MA
Practice address
627 College Hwy Ste 6
Southwick, MA 01077-9829
Phone
(413) 736-2250
Fax
(413) 736-2254
NPI assigned
Aug 10, 2018
Last updated
Sep 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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 23796 MA Primary

Addresses

Primary practice location

627 College Hwy Ste 6
Southwick, MA 01077-9829

Mailing address

1111 Elm St Ste 9
West Springfield, MA 01089-1540
Phone (413) 736-2250

Other practice location 1

98 Lower Westfield Rd Ste 2
Holyoke, MA 01040-2744
Phone (413) 736-2250

Other practice location 2

1111 Elm St Ste 9
West Springfield, MA 01089-1540
Phone (413) 736-2250

Other names 1

  • Miss Regina Moroso Former name

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
23796MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
DG Physical Therapy PC Physical Therapist Current Accepting new patients
DG Physical Therapy, P.C. CurrentSince Feb 11, 2024 Accepting new patients
DG Physical Therapy, P.C. CurrentSince Feb 11, 2024 Accepting new patients

Locations

4 Meeting House Rd
Ste 5
Chelmsford, MA 01824
Phone (978) 970-2460

75 Springfield Rd
Ste 9
Westfield, MA 01085
Phone (413) 642-5853

Organizations & group practices 3

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": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1295214161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 ELM ST STE 9",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891540",
            "telephone_number": "413-736-2250",
            "fax_number": "413-736-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 COLLEGE HWY STE 6",
            "city": "SOUTHWICK",
            "state": "MA",
            "postal_code": "010779829",
            "telephone_number": "413-736-2250",
            "fax_number": "413-736-2254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98 Lower Westfield Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "010402744",
            "country_code": "US",
            "telephone_number": "413-736-2250",
            "fax_number": "413-736-2254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Elm St Ste 9",
            "address_purpose": "LOCATION",
            "city": "West Springfield",
            "state": "MA",
            "postal_code": "010891540",
            "country_code": "US",
            "telephone_number": "413-736-2250",
            "fax_number": "413-736-2254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVARD",
        "first_name": "REGINA",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "MOROSO",
            "prefix": "MISS",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southwick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.