Active NPI
Patrick Harris
- Physical Therapist
- Dedham, MA
National Provider Identifier
1669840906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21886
- Practice address
- 606 Providence Hwy
Dedham, MA 02026-6804 - Phone
- (857) 444-1010
- NPI assigned
- Sep 3, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21886 | MA | Primary |
Addresses
Primary practice location
606 Providence Hwy
Dedham, MA 02026-6804
Mailing address
250 E Main St
Suite 7
Norton, MA 02766-2436
Phone (508) 285-5533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150929000521 | MA | Practitioner - Physical Therapist in Private Practice | 5294043022 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rebound Physical Therapy LLC
Practice addresses (Care Compare)
203 Oak St
Natick, MA 01760-1344
Phone (508) 651-0051
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21886 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebound Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Rebound Physical Therapy LLC | Current | Accepting new patients | |
| Marathon Physical Therapy and Sports Medicine, LLC | Physical Therapist | Past | Accepting new patients |
Locations
203 Oak St
Natick, MA 01760
Phone (508) 647-3200
Organizations & group practices 3
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.
-
- Occupational Medicine Clinic/Center
- Wellesley, MA
- NPI 1447566310
-
- Physical Therapist
- Newton, MA
- NPI 1346373115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441238400000",
"number": "1669840906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E MAIN ST",
"address_2": "SUITE 7",
"city": "NORTON",
"state": "MA",
"postal_code": "027662436",
"telephone_number": "508-285-5533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 PROVIDENCE HWY",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020266804",
"telephone_number": "857-444-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "PATRICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-03",
"last_updated": "2015-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "21886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dedham, MA
- Gail Marie Hanson-Mayer, APRN, CS
- Makayla Hardy
- Rebecca Harrington
- Robert Dennis Harrington, D.M.D.
- Janette Howard Harris, PSY.D.
- Emily Gail Hartford
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
- Olivia Grace Haskell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.