Christopher Afonso, DPT

Individual provider Active NPI Physical Therapist · Auburn, MA

NPI 1558084087 · NPPES record last updated Sep 20, 2022

Key facts

NPI
1558084087
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
26225 (MA)
Practice address
489 Washington St
Auburn, MA 01501-5709
Phone
(774) 696-8309
Fax
(508) 721-0100
NPI assigned
Sep 20, 2022
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Innovations, Inc (14 clinicians)

Practice addresses (Care Compare)

489 Washington St
Suite 200
Auburn, MA 01501-5709
Phone 5087210000521

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230502001175 MA Practitioner - Physical Therapist in Private Practice 9234594987 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
26225MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Innovations, Inc Physical Therapist Current
since Jan 25, 2023
Accepting new patients
Francis P. Defalco, PC Past
since Jan 25, 2023
Accepting new patients

Locations

489 Washington St
Ste 200
Auburn, MA 01501
Phone 5087210000199

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 26225 MA Yes

Addresses

Primary practice location

489 Washington St
Auburn, MA 01501-5709

Mailing address

489 Washington St
Auburn, MA 01501-5709
Phone (774) 696-8309

Other providers in Auburn, MA

All providers in Auburn, MA · Physical Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.