Organization Active NPI

Professional Therapy Associates, LLC

  • Physical Therapist
  • Worcester, MA
National Provider Identifier
1346228756
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROFESSIONAL THERAPY ASSOCIATES, LLC
Practice address
67 Millbrook St
Suite 211
Worcester, MA 01606-2835
Phone
(508) 792-9955
Fax
(508) 792-9943
NPI assigned
Jan 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Dr. Eugene R Lambert, PTNPI 1023007291
Title
Director
Phone
(508) 792-9955

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

67 Millbrook St
Suite 211
Worcester, MA 01606-2835

Mailing address

67 Millbrook St
Suite 211
Worcester, MA 01606-2835
Phone (508) 792-9955

Other identifiers 1

IdentifierTypeStateIssuer
698229OtherTUFTS

National Provider Directory

National Provider Directory

Locations

67 Millbrook St
Ste 211
Worcester, MA 01606
Phone (508) 792-9955

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": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1346228756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MILLBROOK ST",
            "address_2": "SUITE 211",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062835",
            "telephone_number": "508-792-9955",
            "fax_number": "508-792-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 MILLBROOK ST",
            "address_2": "SUITE 211",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062835",
            "telephone_number": "508-792-9955",
            "fax_number": "508-792-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL THERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "508-792-9955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "698229",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.