NPIMap

Organization Active NPI

Proex Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • West Yarmouth, MA
National Provider Identifier
1649023599
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PROEX PHYSICAL THERAPY, LLC
Practice address
22 Aarons Way
Unit 4
West Yarmouth, MA 02673
Phone
(774) 352-7060
Fax
(774) 352-7069
NPI assigned
Apr 10, 2024
Last updated
Apr 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Kathleen Brush
Title
Credentialing Manager
Phone
(631) 359-5805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

22 Aarons Way
Unit 4
West Yarmouth, MA 02673

Mailing address

576 Broadhollow Rd
Melville, NY 11747-5002

National Provider Directory

National Provider Directory
Tax ID family
Proex Physical Therapy LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

110 Haverhill Rd
Amesbury, MA 01913
Phone (978) 388-4500

6 Fortune Dr
Billerica, MA 01821
Phone (978) 408-2000

1300 Soldiers Field Rd
Boston, MA 02135
Phone (857) 240-0931

44 School St
Rm 350
Boston, MA 02108
Phone (617) 213-1336

101 Broadway Rd
Ste 17
Dracut, MA 01826
Phone (978) 881-7698

3 Ferry St
Haverhill, MA 01835
Phone (351) 222-8064

3 Ferry St
Ste F
Haverhill, MA 01835
Phone (978) 469-9412

389 Main St
Haverhill, MA 01830
Phone (978) 478-5050

170 Governors Ave
Ste 100
Medford, MA 02155
Phone (617) 277-1205

104 Main St
Ste 15
Medway, MA 02053

215 S Main St
Unit A
Middleton, MA 01949
Phone (978) 624-7150

3 Rundlett Way
Middleton, MA 01949
Phone (978) 624-7149

140 Gould St
Needham Heights, MA 02494
Phone (781) 433-9890

112 Parker St
Lowr
Newburyport, MA 01950
Phone (978) 572-4333

34 High St
North Andover, MA 01845
Phone (978) 791-3649

46 Long Pond Rd
Plymouth, MA 02360
Phone (774) 283-4387

1250 Hancock St
Ste 121S
Quincy, MA 02169
Phone (617) 770-1696

516 Route 134
Ste 9
South Dennis, MA 02660
Phone (774) 352-7090

700 Myles Standish Blvd
Taunton, MA 02780
Phone (508) 824-9022

63 Pleasant St
Fl 2
Watertown, MA 02472
Phone (617) 213-1335

600 Main St
Ste 4
Winchester, MA 01890
Phone (781) 218-1044

1 Arrow Dr
Ste 3
Woburn, MA 01801

Practitioners & affiliated clinicians

Practitioners 32

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 32

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1649023599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BROADHOLLOW RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 AARONS WAY",
            "address_2": "UNIT 4",
            "city": "WEST YARMOUTH",
            "state": "MA",
            "postal_code": "02673",
            "telephone_number": "774-352-7060",
            "fax_number": "774-352-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROEX PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "BRUSH",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "631-359-5805"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Yarmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.