Individual provider Active NPI

Daniel Pothier

  • Physical Therapist
  • Danvers, MA
National Provider Identifier
1427604503
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24474 Issued in MA
Practice address
5A Hutchinson Dr
Danvers, MA 01923-3777
Phone
(978) 750-8188
NPI assigned
Aug 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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 24474 MA Primary

Addresses

Primary practice location

5A Hutchinson Dr
Danvers, MA 01923-3777

Mailing address

5A Hutchinson Dr
Danvers, MA 01923-3777
Phone (978) 750-8188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190909000158 MA Practitioner - Physical Therapist in Private Practice 7315276953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro Sports Therapy IncGroup PAC ID 6901708544, 13 clinicians

Practice addresses (Care Compare)

1830 Main St
Apt 1
Tewksbury, MA 01876-4712
Phone (978) 710-6254

334 Littleton Rd
Suite 2
Westford, MA 01886-4124
Phone (978) 392-0483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24474MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Sports Therapy, Inc. Physical Therapist CurrentSince May 5, 2025 Accepting new patients

Locations

71 Border Rd
Waltham, MA 02451
Phone (781) 487-9944

840 Winter St
Waltham, MA 02451
Phone (781) 487-9944

334 Littleton Rd
Ste 2
Westford, MA 01886
Phone (978) 392-0483

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1148/brand/1/csg/1/fhir/r4

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": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1427604503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5A HUTCHINSON DR",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233777",
            "telephone_number": "978-750-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5A HUTCHINSON DR",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233777",
            "telephone_number": "978-750-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTHIER",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.