Individual provider Active NPI

Michelle Marie Donohue, PT

  • Physical Therapist
  • Norwood, MA
National Provider Identifier
1437224391
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16458 Issued in MA
Practice address
Physical Therapy & Sports Rehab Inc
825 Washington St Ste 280
Norwood, MA 02062
Phone
(781) 769-2040
Fax
(781) 769-1914
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 16458 MA Primary

Addresses

Primary practice location

Physical Therapy & Sports Rehab Inc
825 Washington St Ste 280
Norwood, MA 02062

Mailing address

Physical Therapy & Sports Rehab Inc
825 Washington St Ste 280
Norwood, MA 02062
Phone (781) 769-2040

Other identifiers 3

IdentifierTypeStateIssuer
100230OtherFALLON
460288OtherTUFTS
Y68460OtherBC BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050127000654 MA Practitioner - Physical Therapist in Private Practice 8426008459 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

898 B Washington St
Norwood, MA 02062-3446
Phone (781) 269-5850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16458MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Move Well Physical Therapy CurrentSince Jan 9, 2019 Accepting new patients
Physical Therapy & Sports Rehab Inc Physical Therapist CurrentSince Dec 1, 2004 Accepting new patients
Physical Therapy and Sports Rehab, Inc Past Accepting new patients

Locations

825 Washington St
Ste 280
Norwood, MA 02062
Phone (781) 769-2040

32 Day St
Norwood, MA 02062
Phone (781) 769-2040

898B Washington St
Norwood, MA 02062
Phone (781) 269-5850

Organizations & group practices 3

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437224391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PHYSICAL THERAPY & SPORTS REHAB INC",
            "address_2": "825 WASHINGTON ST STE 280",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "02062",
            "telephone_number": "781-769-2040",
            "fax_number": "781-769-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PHYSICAL THERAPY & SPORTS REHAB INC",
            "address_2": "825 WASHINGTON ST STE 280",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "02062",
            "telephone_number": "781-769-2040",
            "fax_number": "781-769-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHUE",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "16458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "100230",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "460288",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "Y68460",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, 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.

Verify at the official NPI Registry.