Active NPI
Max Ryan Demartino, DPT
- Physical Therapist
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 348 Cooley St Unit 10
Springfield, MA 01128-1144 - Phone
- (413) 355-5700
- Fax
- (413) 526-9961
- NPI assigned
- Nov 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | MA | Primary | |
| Physical Therapist | 225100000X | 012906 | CT |
Addresses
Primary practice location
348 Cooley St Unit 10
Springfield, MA 01128-1144
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Other practice location 1
168 Denslow Rd
East Longmeadow, MA 01028-3188
Phone (413) 526-9924
Other practice location 2
715 Lakewood Rd
Waterbury, CT 06704-5400
Phone (203) 598-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, TN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
168 Denslow Rd
East Longmeadow, MA 01028-3188
Phone (413) 526-9924
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.19 of 100
- Quality
- 86.04
- Improvement activities
- 40
- Cost
- 76.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012906 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
790 Remington Blvd
Bolingbrook, IL 60440
33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703
168 Denslow Rd
East Longmeadow, MA 01028
Phone (413) 526-9924
84 Willimansett St
South Hadley, MA 01075
Phone (413) 533-8501
348 Cooley St
Unit 10
Springfield, MA 01128
Phone (413) 355-5700
1525 Gunbarrel Rd
Ste 105
Chattanooga, TN 37421
Phone (423) 894-4188
5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630
Organizations & group practices 5
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.
-
- Physical Therapist
- West Springfield, MA
- NPI 1710919063
-
- Durable Medical Equipment & Medical Supplies
- Wilbraham, MA
- NPI 1376140566
Physical Therapist
-
- Occupational Therapist
- East Longmeadow, MA
- NPI 1740345818
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1346958543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 COOLEY ST UNIT 10",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011281144",
"telephone_number": "413-355-5700",
"fax_number": "413-526-9961"
}
],
"practiceLocations": [
{
"address_1": "168 Denslow Rd",
"address_purpose": "LOCATION",
"city": "East Longmeadow",
"state": "MA",
"postal_code": "010283188",
"country_code": "US",
"telephone_number": "413-526-9924",
"fax_number": "413-526-9961",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "715 Lakewood Rd",
"address_purpose": "LOCATION",
"city": "Waterbury",
"state": "CT",
"postal_code": "067045400",
"country_code": "US",
"telephone_number": "203-598-0500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMARTINO",
"first_name": "MAX",
"middle_name": "RYAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-07",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "012906",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.