Individual provider Active NPI

Robert Michael Toth III

  • Physical Therapist
  • Danvers, MA
National Provider Identifier
1669952602
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26321 Issued in MA
Practice address
10 Elm St
Danvers, MA 01923-2824
Phone
(978) 304-0536
Fax
(978) 304-0642
NPI assigned
Aug 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11946 CT
Physical Therapist 225100000X 26321 MA Primary

Addresses

Primary practice location

10 Elm St
Danvers, MA 01923-2824

Mailing address

390 Johnson St
North Andover, MA 01845-4722
Phone (203) 917-0598

Other practice location 1

7 Reservoir Rd
Beverly, MA 01915-5501
Phone (978) 524-0333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221019001783 MA Practitioner - Physical Therapist in Private Practice 6709125065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soul Physical Therapy LLCGroup PAC ID 5991026544, 6 clinicians

Practice addresses (Care Compare)

7 Reservoir Rd
Beverly, MA 01915-5501
Phone (978) 524-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26321MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Soul Physical Therapy LLC CurrentSince Jun 28, 2022 Accepting new patients
Bellwether Wellness, LLC CurrentSince Nov 10, 2024 Accepting new patients

Locations

455 Post Rd
Ste 201
Darien, CT 06820
Phone (203) 655-6464

7 Reservoir Rd
Beverly, MA 01915
Phone (978) 524-0333

10 Elm St
Danvers, MA 01923
Phone (978) 304-0536

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": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1669952602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 JOHNSON ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018454722",
            "telephone_number": "203-917-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ELM ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232824",
            "telephone_number": "978-304-0536",
            "fax_number": "978-304-0642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Reservoir Rd",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019155501",
            "country_code": "US",
            "telephone_number": "978-524-0333",
            "fax_number": "978-524-0334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOTH",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-20",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11946",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "26321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.