Reliant Medical Group, Inc
Organization Active NPI Physical Therapist · Worcester, MA
NPI 1295827962 · NPPES record last updated Nov 27, 2018
Key facts
- NPI
- 1295827962
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- RELIANT MEDICAL GROUP, INC
- Practice address
- 5 Neponset St
Worcester, MA 01606-2714 - Phone
- (508) 852-0600
- NPI assigned
- Sep 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Tarek Elsawy, MD
- Title
- Ceo
- Phone
- (508) 852-0600
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 18
Practitioners 1,021
-
Maria G Alatalo, PT
-
Jeffrey Allen Benoit, MS, PT
-
Beth A Bylund, PT
-
Amy E Canole, DPT
-
Charles Carville, DPT
-
Joel Cecchi, PT, DPT
-
Sean Patrick Cleary, DPT
-
Kristin E Dymek, PT
-
Julie L Flaherty, PT
-
Ryan Fontaine, DPT
-
Bailey Handzel, DPT
-
Neeta B Kalappa, PT
-
Anders Karsok, DPT
-
Brianne Krysiak, DPT
-
Katherine A. Kulig, DPT
-
John J Lewczyk, PT
-
Jesse J. Little, PT
-
Erin Marie Mannion, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051103000181 | MA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 5597755322 |
Receives reassigned benefits from 46 practitioners Practice locations: Leominster, MA; Worcester, MA; Milford, MA; Auburn, MA; Southborough, MA |
National Provider Directory
- Tax ID family
- Fallon Clinic Pharmacy
Locations
225 New Lancaster Rd
Leominster, MA 01453
Phone (978) 466-3208
24 Newton St
Southborough, MA 01772
Phone (508) 460-3190
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
5 Neponset St
Worcester, MA 01606-2714
Mailing address
5 Neponset St
Wot- 2ND Floor, Suite C203
Worcester, MA 01606
Phone (508) 852-0600
Other providers in Worcester, MA
- Reliant Health Systems, LLC
- Reliant Medical Group
- Reliant Medical Group
- Reliant Medical Group, Inc
- Reliant Medical Group, Inc
- Reliant Medical Group, Inc
- Reliant Medical Group, Inc
- Reliant Medical Group, Inc
- Reliant Medical Group, Inc
- Reliant Medical Group, Inc
All providers in Worcester, 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 27, 2018. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.