Individual provider Active NPI

Justin Winslow Woodacre, DPT

  • Physical Therapist
  • Westborough, MA
National Provider Identifier
1376976423
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20690 Issued in MA
Practice address
205 Turnpike Rd Ste 3
Westborough, MA 01581-2805
Phone
(508) 329-1818
NPI assigned
Aug 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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 20690 MA Primary

Addresses

Primary practice location

205 Turnpike Rd Ste 3
Westborough, MA 01581-2805

Mailing address

203 Oak St
Natick, MA 01760-1306
Phone (508) 651-0051

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131109000099 MA Practitioner - Physical Therapist in Private Practice 2567697030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Correnti PT LLCGroup PAC ID 6103338777, 2 clinicians

Practice addresses (Care Compare)

49 Main St
Franklin, MA 02038-1932
Phone (781) 973-0154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20690MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Physical Therapy LLC Physical Therapist CurrentSince Nov 13, 2017 Accepting new patients
Correnti PT LLC Physical Therapist CurrentSince Apr 27, 2025 Accepting new patients
Rebound Physical Therapy LLC CurrentSince Nov 13, 2017 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist Past Accepting new patients

Locations

49 Main St
Franklin, MA 02038
Phone (781) 973-0154

203 Oak St
Natick, MA 01760
Phone (508) 647-3200

205 Turnpike Rd
Ste 3
Westborough, MA 01581
Phone (508) 329-1818

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1376976423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 OAK ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601306",
            "telephone_number": "508-651-0051",
            "fax_number": "508-651-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 TURNPIKE RD STE 3",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812805",
            "telephone_number": "508-329-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODACRE",
        "first_name": "JUSTIN",
        "middle_name": "WINSLOW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-13",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.