NPIMap

Organization Active NPI

Massachusetts Medical & Physical Therapy Associates Inc.

Doing business as Fitzgerald Physical Therapy Associates, Inc.

  • Rehabilitation Practitioner
  • Woburn, MA
National Provider Identifier
1447259163
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
MASSACHUSETTS MEDICAL & PHYSICAL THERAPY ASSOCIATES INC.
Doing business as
Fitzgerald Physical Therapy Associates, Inc.
Practice address
500 W Cummings Park
Suite 2100
Woburn, MA 01801-6503
Phone
(781) 305-4656
Fax
(781) 305-4658
NPI assigned
Jul 14, 2005
Last updated
Feb 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

Name
Mrs. Holly A Fitzgerald, P.T.NPI 1396744900
Title
Owner/Supervising PT
Phone
(781) 305-4656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 551184 MA
Rehabilitation Practitioner 225400000X NU Primary

Addresses

Primary practice location

500 W Cummings Park
Suite 2100
Woburn, MA 01801-6503

Mailing address

500 W Cummings Park
Suite 2100
Woburn, MA 01801-6503
Phone (781) 305-4656

Other identifiers 1

IdentifierTypeStateIssuer
9775978MedicaidMA

Other names 1

  • Fitzgerald Physical Therapy Associates, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051103000139 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3779525837 Receives reassigned benefits from 27 practitioners
Practice locations: Melrose, MA; Wilmington, MA; Woburn, MA

National Provider Directory

National Provider Directory

Locations

110 Florence St
Ste 104
Malden, MA 02148
Phone (781) 321-7000

196 Ballardvale St
Ste 2
Wilmington, MA 01887
Phone (978) 909-4849

208 W Cummings Park
Woburn, MA 01801
Phone (781) 721-7600

500 W Cummings Park
Ste 21
Woburn, MA 01801
Phone (781) 305-4656

500 W Cummings Park
Ste 2100
Woburn, MA 01801
Phone (781) 305-4656

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1447259163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W CUMMINGS PARK",
            "address_2": "SUITE 2100",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016503",
            "telephone_number": "781-305-4656",
            "fax_number": "781-305-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W CUMMINGS PARK",
            "address_2": "SUITE 2100",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016503",
            "telephone_number": "781-305-4656",
            "fax_number": "781-305-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS MEDICAL & PHYSICAL THERAPY ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/SUPERVISING PT",
        "authorized_official_telephone_number": "781-305-4656",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "551184",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9775978",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fitzgerald Physical Therapy Associates, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fitzgerald Physical Therapy Associates, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.