Organization Active NPI

Physiohealth Physical Therapy, Inc.

  • Orthopedic Physical Therapist
  • North Attleboro, MA
National Provider Identifier
1326665597
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
PHYSIOHEALTH PHYSICAL THERAPY, INC.
Practice address
560 Kelley Blvd Ste 2
North Attleboro, MA 02760-4185
Phone
(781) 859-4189
Fax
(781) 757-3564
NPI assigned
Jul 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christopher Paul Gomes, DPTNPI 1417293432
Title
President/Physical Therapist
Phone
(781) 859-4189

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

560 Kelley Blvd Ste 2
North Attleboro, MA 02760-4185

Mailing address

560 Kelley Blvd Ste 2
North Attleboro, MA 02760-4185
Phone (781) 859-4189

Other practice location 1

762 E Washington St
North Attleboro, MA 02760-1876
Phone (781) 859-4189

Other names 1

  • Performance Evolution, LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210205000273 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1658785456 Receives reassigned benefits from 1 practitioner
Practice locations: North Attleboro, MA

National Provider Directory

National Provider Directory

Locations

560 Kelley Blvd
Ste 2
North Attleboro, MA 02760
Phone (774) 254-1265

762 E Washington St
North Attleboro, MA 02760
Phone (781) 859-4189

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1326665597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 KELLEY BLVD STE 2",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027604185",
            "telephone_number": "781-859-4189",
            "fax_number": "781-757-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 KELLEY BLVD STE 2",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027604185",
            "telephone_number": "781-859-4189",
            "fax_number": "781-757-3564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "762 E Washington St",
            "address_purpose": "LOCATION",
            "city": "North Attleboro",
            "state": "MA",
            "postal_code": "027601876",
            "country_code": "US",
            "telephone_number": "781-859-4189",
            "fax_number": "781-757-3564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSIOHEALTH PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2023-04-04",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "GOMES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "781-859-4189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Evolution, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in North Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.