Individual provider Active NPI

Christopher A. Dukarski

  • Physical Therapist
  • Shrewsbury, MA
National Provider Identifier
1639338155
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8881 Issued in MA
Practice address
3 Tennis Dr
Shrewsbury, MA 01545-3378
Phone
(508) 845-3500
Fax
(508) 845-7772
NPI assigned
Jun 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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 8881 MA Primary

Addresses

Primary practice location

3 Tennis Dr
Shrewsbury, MA 01545-3378

Mailing address

3 Tennis Dr
Shrewsbury, MA 01545-3378
Phone (508) 845-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080731000254 MA Practitioner - Physical Therapist in Private Practice 7810061462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Cummings Ctr
Suite 433C
Beverly, MA 01915-6122
Phone (978) 522-4199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8881MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
All-Access Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1639338155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 TENNIS DR",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453378",
            "telephone_number": "508-845-3500",
            "fax_number": "508-845-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 TENNIS DR",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453378",
            "telephone_number": "508-845-3500",
            "fax_number": "508-845-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKARSKI",
        "first_name": "CHRISTOPHER",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "8881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.