Individual provider Active NPI

Faina Dulfan, DPT

  • Physical Therapist
  • Worcester, MA
National Provider Identifier
1417272444
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18813 Issued in MA
Practice address
65 Milton St
Worcester, MA 01606-2819
Phone
(508) 754-2010
Fax
(508) 519-0381
NPI assigned
Apr 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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 18813 MA Primary

Addresses

Primary practice location

65 Milton St
Worcester, MA 01606-2819

Mailing address

65 Milton St
Worcester, MA 01606-2819
Phone (508) 754-2010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100921000039 MA Practitioner - Physical Therapist in Private Practice 1355466863 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18813MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comeback Physical Therapy, Inc. Physical Therapist CurrentSince Mar 26, 2025 Accepting new patients
Greendale Physical Therapy, LLC Physical Therapist PastSince Oct 25, 2000 Accepting new patients

Locations

415 Neponset Ave
Ste 2B
Dorchester, MA 02122
Phone (617) 287-2225

966 Park St
Ste A2
Stoughton, MA 02072
Phone (781) 341-1000

101 Pleasant St
Ste 114
Worcester, MA 01609
Phone (508) 798-2225

Organizations & group practices 2

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": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1417272444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MILTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062819",
            "telephone_number": "508-754-2010",
            "fax_number": "508-519-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MILTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062819",
            "telephone_number": "508-754-2010",
            "fax_number": "508-519-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULFAN",
        "first_name": "FAINA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.