Active NPI
Physiotherapy Associates Inc
- Rehabilitation Clinic/Center
- Peabody, MA
National Provider Identifier
1629166905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- PHYSIOTHERAPY ASSOCIATES INC
- Practice address
- 1 Orthopedic Dr
Peabody, MA 01960-1668 - Phone
- (978) 818-6260
- Fax
- (978) 818-6255
- NPI assigned
- Oct 11, 2006
- Last updated
- Apr 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jayne Fleck Pool
- Title
- Chief Compliance Officer
- Phone
- (469) 467-8705
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | NU | Primary |
Addresses
Primary practice location
1 Orthopedic Dr
Peabody, MA 01960-1668
Mailing address
PO Box 1245
Indiana, PA 15701-5245
Phone (724) 465-3496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040106000458 | MA | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 3577470442 |
6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: East Wareham, MA; South Dennis, MA |
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Select Physical Therapy
- Rehabilitation Clinic/Center
- South Dennis, MA
- NPI 1114015401
O20040106000458
-
dba Physiotherapy Associates
- Physical Therapy Clinic/Center
- W Yarmouth, MA
- NPI 1427146885
O20040106000458
-
- Physical Therapy Clinic/Center
- East Wareham, MA
- NPI 1497836654
O20040106000458
-
- Rehabilitation Clinic/Center
- East Harwich, MA
- NPI 1629165634
O20040106000458
-
dba Physiotherapy Associates
- Physical Therapy Clinic/Center
- Centerville, MA
- NPI 1720176191
O20040106000458
-
- Rehabilitation Clinic/Center
- East Falmouth, MA
- NPI 1740378199
O20040106000458
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334793600000",
"number": "1629166905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1245",
"city": "INDIANA",
"state": "PA",
"postal_code": "157015245",
"telephone_number": "724-465-3496",
"fax_number": "215-413-4682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ORTHOPEDIC DR",
"city": "PEABODY",
"state": "MA",
"postal_code": "019601668",
"telephone_number": "978-818-6260",
"fax_number": "978-818-6255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSIOTHERAPY ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-11",
"last_updated": "2012-04-19",
"status": "A",
"authorized_official_last_name": "POOL",
"authorized_official_first_name": "JAYNE",
"authorized_official_middle_name": "FLECK",
"authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
"authorized_official_telephone_number": "469-467-8705",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.