Traci Magliozzi

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10152 Issued in MA

Practice address

411 W Main St Ste 3
Northborough, MA 01532-2163

Phone

(508) 393-9000

NPI assigned

Aug 22, 2023

Last updated

Aug 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Flaherty Physical Therapy IncGroup PAC ID 6305141839, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Flaherty Physical Therapy, Inc.

  • Physical Therapist
  • Northborough, MA
  • NPI 1407220817
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1417731308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W MAIN ST STE 3",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015322163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W MAIN ST STE 3",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015322163",
            "telephone_number": "508-393-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGLIOZZI",
        "first_name": "TRACI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "10152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Joseph Lynch III, DC
• M Moheban DMD PC (advanced dental)
• Jolanta Maria Macdonald, DMD
• Janice Machado
• Amanda Maddox
• David John Maitland, M.D.
• Olivia Rita Malacarne
• Todd Christopher Malvey, D.O.
• Caroline Margaret Manganaro
• Karen Marie Manning, M.ED., BCBA, LABA

• Physical Therapist in Northborough, MA
• Providers in Northborough, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.