Individual provider Active NPI

Amy Veres, PT

  • Physical Therapist
  • East Longmeadow, MA
National Provider Identifier
1326136128
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13277 Issued in MA
Practice address
168 Denslow Rd
East Longmeadow, MA 01028-3188
Phone
(413) 526-9969
Fax
(413) 526-9960
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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 13277 MA Primary

Addresses

Primary practice location

168 Denslow Rd
East Longmeadow, MA 01028-3188

Mailing address

168 Denslow Rd
East Longmeadow, MA 01028-3188
Phone (413) 526-9969

Other identifiers 23

IdentifierTypeStateIssuer
28117OtherMAHEALTH NEW ENGLAND
7339777OtherMAAETNA INDIVIDUAL NO.
043527497OtherMAUNICARE/GIC
043527497OtherMAGREATWEST
0799637MedicaidMA
P00244067OtherMAPALMETTO RR MEDICARE
000000035264OtherMABOSTON MEDICAL HEALTH NET GROUP
043527497OtherMACONSOLIDATED
043527497OtherMAUNITED HEALTH CARE
494428OtherMATUFTS INDIVIDUAL NO.
043527497OtherMAAETNA GROUP NO.
043527497OtherMANORTH REGION/ TRICARE
043527497OtherMAPIONEER
0800013277MA01OtherANTHEM BC BS
103355100OtherMADEPARTMENT OF LABOR
3775887OtherMACIGNA INDIVIDUAL PROVIDER NO.
690675OtherMATUFTS GROUP
043527497OtherMACONNECTICARE
11535153OtherMACAQH
000000035327OtherMABOSTON MEDICAL HEALTH NET INDIVIDUAL NO.
043527497OtherMACIGNA GROUP
0800013277MA02OtherANTHEM BC BS
972730OtherMANETWORK GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151028001517 CT Practitioner - Physical Therapist in Private Practice 1557398088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Live Every Day L.L.C 6 clinicians

Practice addresses (Care Compare)

138 Hopmeadow St
Simsbury, CT 06089-9793
Phone (860) 413-2073

768 S St
Suffield, CT 06078-2514
Phone (860) 413-2073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13277MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Live Every Day LLC Physical Therapist CurrentSince Aug 19, 2015 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist Past Accepting new patients
Live Every Day Past Accepting new patients
Live Every Day L.L.C Past Accepting new patients

Locations

68 Bridge St
Unit 111
Suffield, CT 06078
Phone (860) 254-5190

138 Hopmeadow St
Weatogue, CT 06089
Phone (860) 413-2073

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1326136128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 DENSLOW RD",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010283188",
            "telephone_number": "413-526-9969",
            "fax_number": "413-526-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 DENSLOW RD",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010283188",
            "telephone_number": "413-526-9969",
            "fax_number": "413-526-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERES",
        "first_name": "AMY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "13277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "28117",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INDIVIDUAL NO.",
            "identifier": "7339777",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE/GIC",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREATWEST",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0799637",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR MEDICARE",
            "identifier": "P00244067",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON MEDICAL HEALTH NET GROUP",
            "identifier": "000000035264",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONSOLIDATED",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS INDIVIDUAL NO.",
            "identifier": "494428",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP NO.",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH REGION/ TRICARE",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIONEER",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "0800013277MA01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "103355100",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA INDIVIDUAL PROVIDER NO.",
            "identifier": "3775887",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS GROUP",
            "identifier": "690675",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11535153",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON MEDICAL HEALTH NET INDIVIDUAL NO.",
            "identifier": "000000035327",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GROUP",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "0800013277MA02",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK GROUP",
            "identifier": "972730",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.