Individual provider Active NPI

Alex Chen

  • Physical Therapist
  • Worcester, MA
National Provider Identifier
1366252959
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28086 Issued in MA
Practice address
120 Stafford St
Worcester, MA 01603-1457
Phone
(508) 798-2225
NPI assigned
Jan 7, 2025
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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 28086 MA Primary

Addresses

Primary practice location

120 Stafford St
Worcester, MA 01603-1457

Mailing address

8 Summit Ave
Quincy, MA 02170-3701
Phone (617) 686-1398

Other practice location 1

123 Waterhouse Rd Ste 204
Bourne, MA 02532-3890
Phone (508) 743-7215

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260106001717 MA Practitioner - Physical Therapist in Private Practice 7810483286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

123 Waterhouse Rd
Suite 204
Bourne, MA 02532-3890
Phone (508) 743-7215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28086MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Dec 30, 2025 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Dec 30, 2025 Accepting new patients

Locations

123 Waterhouse Rd
Ste 204
Bourne, MA 02532
Phone (508) 743-7215

1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525

Organizations & group practices 3

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": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1366252959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SUMMIT AVE",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021703701",
            "telephone_number": "617-686-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STAFFORD ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031457",
            "telephone_number": "508-798-2225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Waterhouse Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Bourne",
            "state": "MA",
            "postal_code": "025323890",
            "country_code": "US",
            "telephone_number": "508-743-7215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ALEX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "28086",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 12, 2025; 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.

Verify at the official NPI Registry.