Individual provider Active NPI

Alicia Griesmyer

  • Physical Therapist
  • Woburn, MA
National Provider Identifier
1558729996
Registry record updated Jan 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21731 Issued in MA
Practice address
400 Tradecenter
Suite 4890
Woburn, MA 01801-7452
Phone
(781) 937-9777
NPI assigned
Jan 31, 2016
Last updated
Jan 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2016

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 21731 MA Primary

Addresses

Primary practice location

400 Tradecenter
Suite 4890
Woburn, MA 01801-7452

Mailing address

400 Tradecenter
Suite 4890
Woburn, MA 01801-7452

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240315000147 MA Practitioner - Physical Therapist in Private Practice 4789020579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Connecticut School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hingham Physical Therapy IncGroup PAC ID 7214907294, 9 clinicians

Practice addresses (Care Compare)

34 Hayden Rowe St
Suite 205
Hopkinton, MA 01748-1888
Phone (508) 625-1147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21731MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hingham Physical Therapy, Inc. Physical Therapist CurrentSince Jan 26, 2024 Accepting new patients

Locations

184 Lincoln St
Ste 3
Hingham, MA 02043
Phone (781) 740-4900

184 Lincoln St
Unit C
Hingham, MA 02043
Phone (781) 740-4900

34 Hayden Rowe St
Ste 205
Hopkinton, MA 01748
Phone (508) 625-1147

Organizations & group practices 1

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": "1454198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454198400000",
    "number": "1558729996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TRADECENTER",
            "address_2": "SUITE 4890",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018017452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TRADECENTER",
            "address_2": "SUITE 4890",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018017452",
            "telephone_number": "781-937-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIESMYER",
        "first_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-31",
        "last_updated": "2016-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "21731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2016; 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.