Individual provider Active NPI

Rachel Kate Mattison, PT, DPT

  • Physical Therapist
  • Lexington, MA
National Provider Identifier
1326563412
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23192 Issued in MA
Practice address
57 Bedford St
Lexington, MA 02420-4500
Phone
(781) 541-5111
NPI assigned
Aug 9, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 23192 MA Primary

Addresses

Primary practice location

57 Bedford St
Lexington, MA 02420-4500

Mailing address

57 Bedford St
Lexington, MA 02420-4500

Other practice location 1

57 Bedford Street
Lexington, MA 02420
Phone (781) 541-5111

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
23192MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Feb 1, 2018 Accepting new patients
Orthopaedic and Sports Medicine Specialists, Inc. Physical Therapist CurrentSince Jul 8, 2019 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Feb 1, 2018 Accepting new patients
Therafit-Tewksbury, Inc. Physical Therapist PastSince Jul 8, 2019 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

85 Franklin St
Boston, MA 02110
Phone (857) 284-4399

57 Bedford St
Ste 202
Lexington, MA 02420
Phone (781) 541-5111

231 Sutton St
Ste 1C
North Andover, MA 01845
Phone (978) 685-8059

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, 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": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1326563412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 BEDFORD ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 BEDFORD ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204500",
            "telephone_number": "781-541-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Bedford Street",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MA",
            "postal_code": "02420",
            "country_code": "US",
            "telephone_number": "781-541-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTISON",
        "first_name": "RACHEL",
        "middle_name": "KATE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.