Individual provider Active NPI

Caroline Stark, DPT

  • Physical Therapist
  • Chelmsford, MA
National Provider Identifier
1568060267
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24995 Issued in MA
Practice address
67 Parkhurst Rd Unit 3
Chelmsford, MA 01824-1518
Phone
(978) 935-4055
Fax
(978) 455-2165
NPI assigned
Oct 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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 24995 MA Primary

Addresses

Primary practice location

67 Parkhurst Rd Unit 3
Chelmsford, MA 01824-1518

Mailing address

703 Granite St
Ste 3
Braintree, MA 02184-5350
Phone (978) 877-8370

Other practice location 1

650 Plymouth St
East Bridgewater, MA 02333-2054
Phone (508) 378-4035

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201110000167 MA Practitioner - Physical Therapist in Private Practice 7315357936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay State Physical Therapy of Randolph IncGroup PAC ID 6305744251, 451 clinicians

Practice addresses (Care Compare)

67 Parkhurst Rd
Suite 3
Chelmsford, MA 01824-1518
Phone (978) 935-4055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc CurrentSince Nov 16, 2020 Accepting new patients
Orthopedic & Sports Physical Therapy , Inc Physical Therapist CurrentSince Sep 2, 2020 Accepting new patients
Orthopedic & Sports Physical Therapy Inc Physical Therapist CurrentSince Sep 2, 2020 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Nov 16, 2020 Accepting new patients

Locations

703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205

703 Granite St
Fl 3
Braintree, MA 02184

1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525

320 Main St
Brockton, MA 02301
Phone (508) 583-2155

67 Parkhurst Rd
Ste 3
Chelmsford, MA 01824
Phone (978) 935-4055

650 Plymouth St
East Bridgewtr, MA 02333
Phone (508) 378-4035

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

1054 County St
Somerset, MA 02726
Phone (508) 674-3340

Organizations & group practices 5

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": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1568060267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 GRANITE ST",
            "address_2": "STE 3",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845350",
            "telephone_number": "978-877-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 PARKHURST RD UNIT 3",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241518",
            "telephone_number": "978-935-4055",
            "fax_number": "978-455-2165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Plymouth St",
            "address_purpose": "LOCATION",
            "city": "East Bridgewater",
            "state": "MA",
            "postal_code": "023332054",
            "country_code": "US",
            "telephone_number": "508-378-4035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARK",
        "first_name": "CAROLINE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.