Organization Active NPI

Pioneer Spine and Sports Physicians, PC

  • Physical Therapist
  • West Springfield, MA
National Provider Identifier
1346427713
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PIONEER SPINE AND SPORTS PHYSICIANS, PC
Practice address
271 Park St
West Springfield, MA 01089-3311
Phone
(413) 785-5777
Fax
(413) 781-8552
NPI assigned
Jan 28, 2008
Last updated
Jan 13, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
PIONEER SPINE AND SPORTS PHYSICIANS,PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Dr. Ronald Paasch, M.D.NPI 1609834670
Title
President
Phone
(413) 785-1153

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 Therapist 225100000X Primary

Addresses

Primary practice location

271 Park St
West Springfield, MA 01089-3311

Mailing address

271 Park St
West Springfield, MA 01089-3311
Phone (413) 785-5777

Other identifiers 2

IdentifierTypeStateIssuer
687653OtherTUFTS
Y61230OtherMABLUE CROSS BLUE SHIELD

Other names 1

  • Pioneer Therapy Service Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031120000198 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5991609174 Receives reassigned benefits from 12 practitioners
Practice locations: East Longmeadow, MA; Northampton, MA; West Springfield, MA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Pioneer Spine and Sport

Locations

265 Benton Dr
Ste 202
East Longmeadow, MA 01028
Phone (413) 525-7222

766 N King St
Northampton, MA 01060
Phone (413) 586-0230

271 Park St
West Springfield, MA 01089
Phone (413) 785-1153

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 84

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 84

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1346427713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 PARK ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893311",
            "telephone_number": "413-785-5777",
            "fax_number": "413-781-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 PARK ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893311",
            "telephone_number": "413-785-5777",
            "fax_number": "413-781-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER SPINE AND SPORTS PHYSICIANS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIONEER SPINE AND SPORTS PHYSICIANS,PC",
        "enumeration_date": "2008-01-28",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "PAASCH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-785-1153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "687653",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y61230",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Therapy Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.