Active NPI
Jodi Anne Burgess, MSPT
- Physical Therapist
- East Wareham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13180
- Practice address
- 3119 Cranberry Hwy
Suite 4
East Wareham, MA 02538-4840 - Phone
- (508) 759-5411
- Fax
- (508) 759-6194
- NPI assigned
- Nov 10, 2006
- Last updated
- Jul 8, 2007
- 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 | 13180 | MA | Primary |
Addresses
Primary practice location
3119 Cranberry Hwy
Suite 4
East Wareham, MA 02538-4840
Mailing address
205 Barker Rd
East Wareham, MA 02538-1286
Phone (508) 295-3399
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, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
168 Industrial Dr
Mashpee, MA 02649-3562
Phone (508) 477-4800
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.02 of 100
- Quality
- 47.65
- Improvement activities
- 40
- Cost
- 76.54
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13180 | MA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carroll Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
168 Industrial Dr
Ste 5
Mashpee, MA 02649
Phone (508) 477-4800
800 Route 28
Ste 103C
Mashpee, MA 02649
Phone (508) 477-4800
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427129758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 BARKER RD",
"city": "EAST WAREHAM",
"state": "MA",
"postal_code": "025381286",
"telephone_number": "508-295-3399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3119 CRANBERRY HWY",
"address_2": "SUITE 4",
"city": "EAST WAREHAM",
"state": "MA",
"postal_code": "025384840",
"telephone_number": "508-759-5411",
"fax_number": "508-759-6194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "JODI",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "13180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Wareham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.