Greylock Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GREYLOCK PHYSICAL THERAPY, INC.

Practice address

31 Williamstown Rd
Lanesboro, MA 01237-9603

Phone

(413) 442-7007

Fax

(413) 442-7011

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Lisa J Baumgart, MPT

Title

Owner, President

Phone

(413) 442-7007

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa M Baumgart, M.P.T.

  • Physical Therapist
  • Lanesboro, MA
  • NPI 1184707754
  Medicare reassignment NPD
• Deborah Margaret Gerard, P.T.

  • Physical Therapist
  • Lanesboro, MA
  • NPI 1376970970
  NPD (past)
• David M Kelley, DPT

  • Physical Therapist
  • Lanesboro, MA
  • NPI 1053633305
  NPD (past)
• Keelin Godsey, DPT

  • Physical Therapist
  • Baltimore, MD
  • NPI 1700199619
  NPD (past)
• Katrina Wood, PT

  • Physical Therapist
  • York, ME
  • NPI 1316260334
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1598880395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1583",
            "address_2": "31 WILLIAMSTOWN RD",
            "city": "LANESBORO",
            "state": "MA",
            "postal_code": "012379603",
            "telephone_number": "413-442-7007",
            "fax_number": "413-442-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 WILLIAMSTOWN RD",
            "city": "LANESBORO",
            "state": "MA",
            "postal_code": "012379603",
            "telephone_number": "413-442-7007",
            "fax_number": "413-442-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREYLOCK PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "BAUMGART",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "413-442-7007",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET PLAN",
            "identifier": "000000038655",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "40193",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "637747",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "Y61482",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "974781",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6831785",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9340087",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James R Brennan, P.T,
• Kelly Campbell
• Kellie Ciepiela
• Jennifer Darby, PHARMD
• Deborah Margaret Gerard, P.T.
• Robert Josell, M.D.
• David M Kelley, DPT
• Sandra C Knox, BS PT
• Lanesborough School
• Alice Ling, MD

• Physical Therapist in Lanesboro, MA
• Providers in Lanesboro, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.