Individual provider Active NPI

Christy Dillon, MSPT, PT

  • Physical Therapist
  • Halifax, MA
National Provider Identifier
1487885299
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9759 Issued in MA
Practice address
284 Monponsett St Ste 102
Halifax, MA 02338-1431
Phone
(781) 293-2525
Fax
(781) 795-9932
NPI assigned
Jul 29, 2009
Last updated
Jun 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9759 MA Primary

Addresses

Primary practice location

284 Monponsett St Ste 102
Halifax, MA 02338-1431

Mailing address

1 Credit Union Way FL 3
Randolph, MA 02368-4633
Phone (781) 961-3370

Other practice location 1

186 Summer St
Kingston, MA 02364-1282
Phone (781) 585-5858

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091013000594 MA Practitioner - Physical Therapist in Private Practice 9638215247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Boston University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

22 Mill St
Arlington, MA 02476-4744
Phone (781) 646-8440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9759MAMDLow Vision Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Jun 11, 2019 Accepting new patients
Cosmetic Solutions Past Accepting new patients

Locations

22 Mill St
Ste 406
Arlington, MA 02476
Phone (781) 646-8440

1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525

284 Monponsett St
Ste 102
Halifax, MA 02338
Phone (781) 293-2525

186 Summer St
Kingston, MA 02364
Phone (781) 585-8588

1 Credit Union Way
Fl 3
Randolph, MA 02368
Phone 7819613370225

1054 County St
Somerset, MA 02726
Phone (508) 674-3340

75 Finnell Dr
Weymouth, MA 02188
Phone (781) 335-1151

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1487885299",
    "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": "284 MONPONSETT ST STE 102",
            "city": "HALIFAX",
            "state": "MA",
            "postal_code": "023381431",
            "telephone_number": "781-293-2525",
            "fax_number": "781-795-9932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "186 Summer St",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "MA",
            "postal_code": "023641282",
            "country_code": "US",
            "telephone_number": "781-585-5858",
            "fax_number": "781-585-1279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLON",
        "first_name": "CHRISTY",
        "credential": "MSPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "9759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Halifax, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.