Active NPI
Nathaniel Ripic, DPT
- Physical Therapist
- West Roxbury, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24612
- Practice address
- 1914 Centre St
West Roxbury, MA 02132-2535 - Phone
- (617) 323-8377
- Fax
- (617) 323-8077
- NPI assigned
- Oct 11, 2019
- Sex
- Male
- 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 | 24612 | MA | Primary |
Addresses
Primary practice location
1914 Centre St
West Roxbury, MA 02132-2535
Mailing address
1 Credit Union Way FL 3
Randolph, MA 02368-4633
Phone (781) 961-3370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NY
Enrollment records 2
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
Practice addresses (Care Compare)
285 Delaware Ave
Suite 116
Buffalo, NY 14202-1885
Phone (716) 831-8214
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044760 | NY | MD | Prosthodontist |
| 24612 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy of New York, P.C. | Physical Therapist | Current | Accepting new patients |
| Bay State Physical Therapy of Randolph Inc | Physical Therapist | Current | Accepting new patients |
Locations
703 Granite St
Ste 3
Braintree, MA 02184
1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525
540 Gallivan Blvd
Ste 1
Dorchester, MA 02124
Phone (617) 282-8080
540 Gallivan Blvd
Ste 2
Dorchester, MA 02124
Phone (617) 282-8080
1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339
1 Credit Union Way
Fl 3
Randolph, MA 02368
Phone 7819613370225
1054 County St
Somerset, MA 02726
Phone (508) 674-3340
1914 Centre St
West Roxbury, MA 02132
Phone (617) 323-4377
285 Delaware Ave
Ste 116
Buffalo, NY 14202
Phone (716) 381-8214
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.
-
- Physical Therapist
- Manlius, NY
- NPI 1912950072
-
- Physical Therapist
- Fall River, MA
- NPI 1164474334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1437791340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CREDIT UNION WAY FL 3",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023684633",
"telephone_number": "781-961-3370",
"fax_number": "781-961-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1914 CENTRE ST",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021322535",
"telephone_number": "617-323-8377",
"fax_number": "617-323-8077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIPIC",
"first_name": "NATHANIEL",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-11",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "24612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.