NPIMap

Organization Active NPI

Tim Dreher PT & Associates, Inc.

  • Physical Therapist
  • Newton, MA
National Provider Identifier
1609957679
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TIM DREHER PT & ASSOCIATES, INC.
Practice address
125 Adams St
Newton, MA 02458-1116
Phone
(617) 527-9267
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Mr. Timothy Warren Dreher, PTNPI 1942383864
Title
Owner
Phone
(617) 527-9267

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

125 Adams St
Newton, MA 02458-1116

Mailing address

55 Knollwood LN
Wayland, MA 01778-4444
Phone (617) 527-9267

Other identifiers 1

IdentifierTypeStateIssuer
0704733MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040304000630 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1052208832 Receives reassigned benefits from 3 practitioners
Practice locations: Newton, MA

National Provider Directory

National Provider Directory

Locations

125 Adams St
Newton, MA 02458
Phone (617) 527-9267

125 Adams St
Ste 2
Newton, MA 02458

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1609957679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 KNOLLWOOD LN",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017784444",
            "telephone_number": "617-527-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ADAMS ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581116",
            "telephone_number": "617-527-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM DREHER PT & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "DREHER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-527-9267",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0704733",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.