Commonwealth Physical Therapy

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

COMMONWEALTH PHYSICAL THERAPY

Practice address

999 N Main St
Randolph, MA 02368-3072

Phone

(781) 963-1697

Fax

(781) 963-5770

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Barry Kneller

Title

Owner

Phone

(781) 963-1697

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497701031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683072",
            "telephone_number": "781-963-1697",
            "fax_number": "781-963-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683072",
            "telephone_number": "781-963-1697",
            "fax_number": "781-963-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNELLER",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-963-1697"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6400060",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCAR",
            "identifier": "AA51230",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y61123",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Collier-Meeks, MA
• Hilary Lynn Collins, MS, BCBA
• Miosotis Linnette Colon
• Comfort Dental Care
• Comfort Dental Care
• Abigail Ashmore Conley
• Kathleen Marie Connell, APRN, FNP-BC
• Meicail Constant
• Elisabeth Anne Cooke, BCBA
• Elizabeth Corcoran

• Orthopedic Physical Therapist in Randolph, MA
• Providers in Randolph, MA by specialty
• Orthopedic Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.