NPIMap

Organization Active NPI

Rebound Physical Therapy LLC

  • Physical Therapist
  • Natick, MA
National Provider Identifier
1467437657
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REBOUND PHYSICAL THERAPY LLC
Practice address
203 Oak St
Longfellow Sports Club
Natick, MA 01760-1306
Phone
(508) 651-0051
Fax
(508) 651-0061
NPI assigned
Dec 9, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Stephen R Crowell, MSPTNPI 1972588101
Title
President/Director
Phone
(508) 651-0051

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

Practitioners 33

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

View all 33

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050919000881 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1355375486 Receives reassigned benefits from 30 practitioners
Practice locations: Natick, MA; Sudbury, MA; Wellesley, MA; Westborough, MA

National Provider Directory

National Provider Directory

Locations

365 Boston Post Rd
Sudbury, MA 01776
Phone (978) 443-5909

365 Boston Post Rd
Ste 104
Sudbury, MA 01776
Phone (978) 579-1040

205 Turnpike Rd
Westborough, MA 01581
Phone (508) 329-1818

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

203 Oak St
Longfellow Sports Club
Natick, MA 01760-1306

Mailing address

203 Oak St
Natick, MA 01760-1306
Phone (508) 651-0051

Other identifiers 5

NPPES NPI Registry
IdentifierTypeStateIssuer
1078657OtherMAAETNA
621300OtherMATUFTS
AA45429OtherMAHARVARD PILGRIM
0000Y61432OtherMABCBS
8077207OtherMACIGNA/TUFTS LOGO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 1, 2019.

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1467437657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 OAK ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601306",
            "telephone_number": "508-651-0051",
            "fax_number": "508-651-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 OAK ST",
            "address_2": "LONGFELLOW SPORTS CLUB",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601306",
            "telephone_number": "508-651-0051",
            "fax_number": "508-651-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOUND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "CROWELL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "508-651-0051",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1078657",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "621300",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA45429",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0000Y61432",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA/TUFTS LOGO",
            "identifier": "8077207",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.