NPIMap

Organization Active NPI

Enea Physical Therapy Corporation

  • Physical Therapist
  • Mashpee, MA
National Provider Identifier
1457531196
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ENEA PHYSICAL THERAPY CORPORATION
Practice address
684 Falmouth Rd
Mashpee, MA 02649-3305
Phone
(508) 477-5670
Fax
(508) 539-1790
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Authorized official

Name
Mr. Andrew M Enea, MSPTNPI 1588742795
Title
President
Phone
(508) 477-5670

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

684 Falmouth Rd
Mashpee, MA 02649-3305

Mailing address

684 Falmouth Rd
Mashpee, MA 02649-3305
Phone (508) 477-5670

Other practice location 1

200 Worcester Ct Apt A
Falmouth, MA 02540-3934
Phone (508) 477-5670

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071203000757 MA Part B Supplier - Clinic/Group Practice 6800985599 Receives reassigned benefits from 5 practitioners
Practice locations: Falmouth, MA; Mashpee, MA

National Provider Directory

National Provider Directory

Locations

684 Falmouth Rd
Mashpee, MA 02649
Phone (508) 447-5670

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1457531196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 FALMOUTH RD",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493305",
            "telephone_number": "508-477-5670",
            "fax_number": "508-539-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 FALMOUTH RD",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493305",
            "telephone_number": "508-477-5670",
            "fax_number": "508-539-1790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Worcester Ct Apt A",
            "address_purpose": "LOCATION",
            "city": "Falmouth",
            "state": "MA",
            "postal_code": "025403934",
            "country_code": "US",
            "telephone_number": "508-477-5670",
            "fax_number": "508-539-1790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENEA PHYSICAL THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "ENEA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-477-5670",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mashpee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.