NPIMap

Organization Active NPI

HD Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Wakefield, MA
National Provider Identifier
1629342977
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HD PHYSICAL THERAPY LLC
Practice address
607 North Ave
Door 16, First Floor
Wakefield, MA 01880-1322
Phone
(781) 367-4933
NPI assigned
Mar 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Mr. Glenn Daddario, MSPT, DPTNPI 1619182342
Title
President/Physical Therapist
Phone
(781) 367-4933

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 Therapy Clinic/Center 261QP2000X MA Primary

Addresses

Primary practice location

607 North Ave
Door 16, First Floor
Wakefield, MA 01880-1322

Mailing address

607 North Ave
Door 16, First Floor
Wakefield, MA 01880-1322

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120416000523 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789845991 Receives reassigned benefits from 7 practitioners
Practice locations: Burlington, MA; Wakefield, MA

National Provider Directory

National Provider Directory

Locations

99 S Bedford St
Ste 6
Burlington, MA 01803
Phone (781) 552-3600

607 North Ave
Fl 1
Wakefield, MA 01880
Phone (781) 587-0776

607 North Ave
Fl First
Wakefield, MA 01880
Phone (781) 367-4933

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1629342977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 NORTH AVE",
            "address_2": "DOOR 16, FIRST FLOOR",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 NORTH AVE",
            "address_2": "DOOR 16, FIRST FLOOR",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801322",
            "telephone_number": "781-367-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HD PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "DADDARIO",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "781-367-4933",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.