Active NPI
Holly A Fitzgerald, PT
- Physical Therapist
- Melrose, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11329
- Practice address
- 2 Washington St
Melrose, MA 02176-6055 - Phone
- (781) 321-7000
- NPI assigned
- Jul 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11329 | MA | Primary |
Addresses
Primary practice location
2 Washington St
Melrose, MA 02176-6055
Mailing address
2 Washington St
Melrose, MA 02176-6055
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y61089 | Other | MA | BLUE CROSS BLUE SHEILD |
| 7016433 | Other | MA | AETNA |
| 9775978 | Medicaid | MA | |
| 806155 | Other | MA | TUFTS HEALTH PLAN |
| 617587 | Other | MA | HARVARD PILGRIM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.fitzgeraldpt.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Washington St
Melrose, MA 02176-6055
Phone (781) 321-7000
500 W Cummings Park
Woburn, MA 01801-6513
Phone (781) 305-4656
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11329 | MA | MD | Group Psychotherapy Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts Medical & Physical Therapy Associates Inc. | Physical Therapist | Current | Accepting new patients |
Locations
427 Main St
Malden, MA 02148
Phone (781) 321-7000
500 W Cummings Park
Ste 2100
Woburn, MA 01801
Phone (781) 305-4656
500 W Cummings Park
Ste 21
Woburn, MA 01801
Phone (781) 305-4656
Organizations & group practices 1
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.
-
- Rehabilitation Practitioner
- Woburn, MA
- NPI 1447259163
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1396744900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 WASHINGTON ST",
"city": "MELROSE",
"state": "MA",
"postal_code": "021766055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 WASHINGTON ST",
"city": "MELROSE",
"state": "MA",
"postal_code": "021766055",
"telephone_number": "781-321-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "HOLLY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-15",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "11329",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "Y61089",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7016433",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9775978",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "806155",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "617587",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.fitzgeraldpt.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "110 Florence St",
"address_2": "St 204",
"city": "Malden",
"state": "MA",
"country_code": "US",
"postal_code": "021483966",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Melrose, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.
- 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.