Life Care Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

660 Issued in MA

Legal business name

LIFE CARE PHYSICAL THERAPY

Practice address

38 SW Cutoff
B
Northborough, MA 01532-2159

Phone

(508) 393-0890

Fax

(774) 987-3005

NPI assigned

Jan 22, 2014

Last updated

Jan 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary an Gracie Moyer, DPTNPI 1396872230

Title

Owner, Senior Physical Therapist

Phone

(508) 393-0890

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Mary an Gracie Moyer, P.T.

  • Physical Therapist
  • Northborough, MA
  • NPI 1396872230
  NPD (past) Authorized official

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1407279763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 SW CUTOFF",
            "address_2": "B",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015322159",
            "telephone_number": "508-393-0890",
            "fax_number": "774-987-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 SW CUTOFF",
            "address_2": "B",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015322159",
            "telephone_number": "508-393-0890",
            "fax_number": "774-987-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "MOYER",
        "authorized_official_first_name": "MARY AN",
        "authorized_official_middle_name": "GRACIE",
        "authorized_official_title_or_position": "OWNER, SENIOR PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "508-393-0890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Nguyen Le, PA
• Hyojin Lee, DPT
• Jennifer Lehto
• Ricardo Lewitus, MD
• Karl F Liebermann, D.O.
• Karen Leigh Lilley, MA LMHC
• Jenna E Lin, NP-C
• Nicole Wing Sze Ling, RDN
• Jennifer Lipton-O'Connor, PHD, BCBA-D, LABA
• Heather Anne Litchfield, MS, OTR/L

• Physical Therapy Clinic/Center in Northborough, MA
• Providers in Northborough, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.