Martin Conserva, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

26165 Issued in MA

Practice address

1373 Highland St
Holliston, MA 01746-2627

Phone

(781) 290-7430

NPI assigned

Mar 15, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vital Rehab Physical Therapy

  • Physical Therapy Clinic/Center
  • Holliston, MA
  • NPI 1760185805
  NPD Authorized official

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679788800000",
    "number": "1467037077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 S HIGHWAY 101",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751807",
            "telephone_number": "760-230-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 HIGHLAND ST",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017462627",
            "telephone_number": "781-290-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSERVA",
        "first_name": "MARTIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-15",
        "last_updated": "2023-03-26",
        "certification_date": "2023-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "26165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Ann Clark, LMHC
• Anne Marie Cohen, LICSW
• Sydney Collier
• Commonwealth Mobile Medical Imaging
• Gail M. Conley, L.I.C.S.W.
• Hoai Pham Croce, FNP-C
• Judit Csikos-Lamb
• CVS Pharmacy Inc
• Joyce Bautz Da Silveira
• Andresa De Oliveira

• Physical Therapist in Holliston, MA
• Providers in Holliston, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.