Individual provider Active NPI

Adriana J Santoro

  • Physical Therapist
  • Middleton, MA
National Provider Identifier
1548085608
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28062 Issued in MA
Practice address
215 S Main St Unit a
Middleton, MA 01949-2440
Phone
(978) 624-7150
Fax
(978) 624-7149
NPI assigned
Nov 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 28062 MA Primary

Addresses

Primary practice location

215 S Main St Unit a
Middleton, MA 01949-2440

Mailing address

576 Broadhollow Rd
Melville, NY 11747-5002
Phone (631) 359-5859

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241206002960 MA Practitioner - Physical Therapist in Private Practice 7618403114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proex Physical Therapy LLCGroup PAC ID 0345212395, 166 clinicians
Massachusetts Medical and Physical Therapy Associates IncGroup PAC ID 3779525837, 23 clinicians

Practice addresses (Care Compare)

3 Rundlett Way
Middleton, MA 01949-2500
Phone (978) 624-7150

500 W Cummings Park
2100 Fitzgerald Physical Therapy Assoc
Woburn, MA 01801-6513
Phone (781) 305-4656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28062MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proex Physical Therapy, LLC CurrentSince Dec 2, 2024 Accepting new patients
Massachusetts Medical & Physical Therapy Associates Inc. Single Specialty CurrentSince Oct 16, 2025 Accepting new patients
Proex Physical Therapy, LLC Single Specialty CurrentSince Dec 2, 2024 Accepting new patients
Proex Physical Therapy, LLC PastSince Nov 24, 2024 Accepting new patients

Locations

10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999

3 Rundlett Way
Middleton, MA 01949
Phone (978) 624-7149

500 W Cummings Park
Ste 2100
Woburn, MA 01801
Phone (781) 305-4656

500 W Cummings Park
Ste 21
Woburn, MA 01801
Phone (781) 305-4656

576 Broadhollow Rd
Melville, NY 11747

Organizations & group practices 4

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": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1548085608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BROADHOLLOW RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475002",
            "telephone_number": "631-359-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S MAIN ST UNIT A",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "019492440",
            "telephone_number": "978-624-7150",
            "fax_number": "978-624-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTORO",
        "first_name": "ADRIANA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "28062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.