Individual provider Active NPI

Chris Coyne, P.T.

  • Physical Therapist
  • Duxbury, MA
National Provider Identifier
1528076338
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5206 Issued in MA
Practice address
95 Tremont St
Suite 20
Duxbury, MA 02332-4738
Phone
(781) 934-7292
Fax
(781) 934-8112
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5206 MA Primary

Addresses

Primary practice location

95 Tremont St
Suite 20
Duxbury, MA 02332-4738

Mailing address

550 Summer St
Duxbury, MA 02332-4202

Other identifiers 1

IdentifierTypeStateIssuer
COY66249OtherMABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060511000082 MA Practitioner - Physical Therapist in Private Practice 1951312586 Reassigns benefits to 1 organization
I20210723000691 FL Practitioner - Physical Therapist in Private Practice 1951312586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carroll Physical TherapyGroup PAC ID 6204805146, 11 clinicians

Practice addresses (Care Compare)

168 Industrial Dr
Suite 5
Mashpee, MA 02649-3562
Phone (508) 477-4800

Merit-based Incentive Payment System (MIPS)

Final score
72.02 of 100Reported as group
Quality
47.65
Improvement activities
40
Cost
76.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5206MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bonita Springs Sports & Physical Therapy Center Inc Physical Therapist CurrentSince Jun 22, 2021 Accepting new patients
Carroll Physical Therapy Physical Therapist CurrentSince Nov 3, 2022 Accepting new patients

Locations

26201 S Tamiami Trl
Ste 1
Bonita Springs, FL 34134
Phone (239) 498-0558

735 Attucks Ln
Hyannis, MA 02601
Phone (508) 778-0300

168 Industrial Dr
Ste 5
Mashpee, MA 02649
Phone (508) 477-4800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528076338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 SUMMER ST",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 TREMONT ST",
            "address_2": "SUITE 20",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324738",
            "telephone_number": "781-934-7292",
            "fax_number": "781-934-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYNE",
        "first_name": "CHRIS",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "5206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "COY66249",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.