Individual provider Active NPI

Sheila A Spitzak, M.S.P.T.

  • Physical Therapist
  • Acton, MA
National Provider Identifier
1306178314
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19380 Issued in MA
Practice address
30 Sudbury Rd
Ste 2
Acton, MA 01720-5954
Phone
(978) 393-1655
NPI assigned
Feb 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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 19380 MA Primary

Addresses

Primary practice location

30 Sudbury Rd
Ste 2
Acton, MA 01720-5954

Mailing address

29D Essex St
Andover, MA 01810-3748
Phone (978) 393-1655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110411000548 MA Practitioner - Physical Therapist in Private Practice 2264616523 Reassigns benefits to 1 organization
Practice locations: Acton, MA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

228 Billerica Rd
Chelmsford, MA 01824-3604
Phone (978) 250-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. Physical Therapist CurrentSince Jul 15, 2024 Accepting new patients
Atrius Health, Inc. Physical Therapist Current Accepting new patients
Revolutions Physical Therapy Current Accepting new patients
Atrius Health, Inc. CurrentSince Jul 15, 2024 Accepting new patients
Atrius Health, Inc. Past Accepting new patients

Locations

30 Sudbury Rd
Ste 2
Acton, MA 01720
Phone (978) 393-1655

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

228 Billerica Rd
Chelmsford, MA 01824
Phone (978) 250-6000

Organizations & group practices 5

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": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1306178314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29D ESSEX ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103748",
            "telephone_number": "978-393-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SUDBURY RD",
            "address_2": "STE 2",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205954",
            "telephone_number": "978-393-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZAK",
        "first_name": "SHEILA",
        "middle_name": "A",
        "credential": "M.S.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-02",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.