Individual provider Active NPI

Edward J Wojciechowski, PT

  • Physical Therapist
  • Providence, RI
National Provider Identifier
1578582086
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01289 Issued in RI
Practice address
100 Butler Dr
Providence, RI 02906-4862
Phone
(401) 330-1437
Fax
(401) 330-1447
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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 01289 RI Primary

Addresses

Primary practice location

100 Butler Dr
Providence, RI 02906-4862

Mailing address

2 Dudley St
Suite 200
Providence, RI 02905-3236
Phone (401) 330-1437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090115000735 RI Practitioner - Physical Therapist in Private Practice 5799848800 Reassigns benefits to 1 organization
I20220323002461 MA Practitioner - Physical Therapist in Private Practice 5799848800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Orthopedics IncGroup PAC ID 9931000395, 185 clinicians
Orthopedic Care Physician Network, LLCGroup PAC ID 7214185511, 36 clinicians

Practice addresses (Care Compare)

10 Reservoir St
Suite 101
Mansfield, MA 02048-3104
Phone (508) 618-7111

15 Roche Bros Way
North Easton, MA 02356-1000
Phone (781) 344-3535

2 Dudley St
Suite 200
Providence, RI 02905-3248
Phone (401) 457-1500

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.76
Promoting interoperability
96
Improvement activities
40
Cost
77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10909MAMDClinical Psychologist
01289RIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Care Physician Network, LLC CurrentSince Feb 1, 2024 Accepting new patients
University Orthopedics, Inc. CurrentSince Jan 15, 2021 Accepting new patients
Orthopedic Care Physician Network LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

10 Reservoir St
Ste 101
Mansfield, MA 02048
Phone (508) 618-7111

15 Roche Brothers Way
North Easton, MA 02356
Phone (781) 545-9273

675 Paramount Dr
Raynham, MA 02767
Phone (508) 828-5848

Interoperability endpoints

  • Direct secure messaging: edward.wojciechowski.1@13709.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGDFCA

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1578582086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DUDLEY ST",
            "address_2": "SUITE 200",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053236",
            "telephone_number": "401-330-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BUTLER DR",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064862",
            "telephone_number": "401-330-1437",
            "fax_number": "401-330-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJCIECHOWSKI",
        "first_name": "EDWARD",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "01289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.