Angelo John Balsamo, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13000 Issued in MA

Practice address

965 Washington St
Hanover, MA 02339-1614

Phone

(617) 333-8408

Fax

(781) 924-3849

NPI assigned

Apr 18, 2007

Last updated

Aug 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Physical TherapyGroup PAC ID 0547645632, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Community Physical Therapy

  • Physical Therapy Clinic/Center
  • Hanover, MA
  • NPI 1669101895

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Drac Physical Therapy, Inc.

  • Occupational Therapist
  • Dedham, MA
  • NPI 1730497538
  NPD
• Drac PT Inc

  • Physical Therapist
  • Dedham, MA
  • NPI 1285730713
  NPD

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1376769190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 STORRS AVE",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844022",
            "telephone_number": "508-843-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 WASHINGTON ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391614",
            "telephone_number": "617-333-8408",
            "fax_number": "781-924-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSAMO",
        "first_name": "ANGELO",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "13000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Marie Atwood, FNP-C
• Susan J Avedissian
• Samantha Lee Babineau
• Victoria Leigh Baczek, PHARM.D.
• Maureen Baker
• Lawrence William Bandoni, DMD
• Kristen L. Barletta, PMHNP-BC
• Amy H Baron, CNM
• Nicole Bassey, MS, CCC-SLP
• Bella Natural Health Inc.

• Physical Therapist in Hanover, MA
• Providers in Hanover, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.