Individual provider Active NPI

Michael Amato, PT

  • Physical Therapist
  • Boston, MA
National Provider Identifier
1306207287
Registry record updated Jun 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20629 Issued in MA
Practice address
30 Court SQ
Boston, MA 02108-2504
Phone
(617) 706-2561
NPI assigned
Mar 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2017

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 20629 MA Primary

Addresses

Primary practice location

30 Court SQ
Boston, MA 02108-2504

Mailing address

654 Beacon St
Ste 2
Boston, MA 02215-2099
Phone (617) 536-1161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170619000029 MA Practitioner - Physical Therapist in Private Practice 7416225396 Reassigns benefits to 1 organization
I20250127000276 NC Practitioner - Physical Therapist in Private Practice 7416225396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Boston University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of North Carolina Hospitals at Chapel HillGroup PAC ID 4486561008, 110 clinicians

Practice addresses (Care Compare)

102 Mason Farm Rd
FL 3
Chapel Hill, NC 27599-6134
Phone (984) 974-5706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20629MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina Hospitals at Chapel Hill Physical Therapist CurrentSince Nov 7, 2024 Accepting new patients
Boston Physical Therapy & Wellness, Inc Physical Therapist CurrentSince Jun 12, 2018 Accepting new patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Nov 7, 2024 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Current Accepting new patients
University of North Carolina Hospitals at Chapel Hill Past Accepting new patients

Locations

275 Mystic Ave
Ste C
Medford, MA 02155
Phone (781) 572-2965

102 Mason Farm Rd
Chapel Hill, NC 27599
Phone (919) 966-1459

102 Mason Farm Rd
Fl 3
Chapel Hill, NC 27599
Phone (919) 966-7689

100 Sprunt St
Chapel Hill, NC 27517
Phone (919) 843-2164

5221 Paramount Pkwy
Ste 440
Morrisville, NC 27560
Phone (984) 974-1183

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": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497225600000",
    "number": "1306207287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 BEACON ST",
            "address_2": "STE 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152099",
            "telephone_number": "617-536-1161",
            "fax_number": "617-536-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 COURT SQ",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082504",
            "telephone_number": "617-706-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMATO",
        "first_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-18",
        "last_updated": "2017-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; 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.