NPIMap

Organization Active NPI

Fusion Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • New Bedford, MA
National Provider Identifier
1386072403
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
11199 Issued in MA
Legal business name
FUSION PHYSICAL THERAPY INC
Practice address
748 Ashley Blvd.
New Bedford, MA 02745
Phone
(508) 995-9000
Fax
(774) 568-5613
NPI assigned
Oct 29, 2013
Last updated
Jul 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Derek SaltzmanNPI 1437448164
Title
President
Phone
(774) 628-9169

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 11199 MA Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

748 Ashley Blvd.
New Bedford, MA 02745

Mailing address

PO Box 838
West Wareham, MA 02576-0838
Phone (774) 766-0440

Other practice location 1

81B County Rd
Mattapoisett, MA 02739-1686
Phone (508) 995-9000

Other practice location 2

7 Barnabas Rd
Marion, MA 02738-1421
Phone (508) 985-8779

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140603000060 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5991928491 Receives reassigned benefits from 5 practitioners
Practice locations: Marion, MA; New Bedford, MA; Mattapoisett, MA

National Provider Directory

National Provider Directory

Locations

1310 S Main St
Fall River, MA 02724
Phone (774) 225-8966

3 Barnabas Rd
Marion, MA 02738
Phone (508) 985-8779

7 Barnabas Rd
Marion, MA 02738
Phone (508) 985-8779

81 County Rd
Ste B
Mattapoisett, MA 02739

81B County Rd
Unit B
Mattapoisett, MA 02739
Phone (508) 995-9000

748 Ashley Blvd
New Bedford, MA 02745
Phone (508) 995-9000

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1386072403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 838",
            "city": "WEST WAREHAM",
            "state": "MA",
            "postal_code": "025760838",
            "telephone_number": "774-766-0440",
            "fax_number": "774-568-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 ASHLEY BLVD.",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "02745",
            "telephone_number": "508-995-9000",
            "fax_number": "774-568-5613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81B County Rd",
            "address_purpose": "LOCATION",
            "city": "Mattapoisett",
            "state": "MA",
            "postal_code": "027391686",
            "country_code": "US",
            "telephone_number": "508-995-9000",
            "fax_number": "774-568-5613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Barnabas Rd",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "MA",
            "postal_code": "027381421",
            "country_code": "US",
            "telephone_number": "508-985-8779",
            "fax_number": "774-568-5613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FUSION PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "SALTZMAN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "774-628-9169"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "11199",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.