Resilience Physical Therapy and Wellness, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RESILIENCE PHYSICAL THERAPY AND WELLNESS, LLC

Practice address

470 Shoemaker Lane
Agawam, MA 01001-3620

Phone

(413) 789-0752

Fax

(413) 789-8140

NPI assigned

Sep 13, 2019

Last updated

Jun 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Griffin, DPTNPI 1902454598

Title

Owner

Phone

(413) 789-0752

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Resilience Physical Therapy and Wellness Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA, CT2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• Direct secure messaging: dan@resilienceptwellness.com

Practitioners 8

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.

• Daniel Griffin IV, PT, DPT

  • Physical Medicine & Rehabilitation Physician
  • Agawam, MA
  • NPI 1902454598

  CT

  Medicare reassignment NPD Authorized official
• Michaela Davenport

  • Physical Therapist
  • Agawam, MA
  • NPI 1750193512
  Medicare reassignment NPD
• Kyle Michael Paynter

  • Orthopedic Physical Therapist
  • Aiken, SC
  • NPI 1629808746

  CT, MA

  Medicare reassignment NPD
• Jonathan Weber

  • Physical Therapist
  • Suffield, CT
  • NPI 1750255345
  Medicare reassignment NPD
• Matthew Costanza, DPT

  • Physical Therapist
  • Agawam, MA
  • NPI 1396431698
  Medicare reassignment
• Devon Dusseault, PT, DPT

  • Physical Therapist
  • East Granby, CT
  • NPI 1861168437
  Medicare reassignment
• Joseph Fredeerick Houde, D.C.

  • Sports Physician Chiropractor
  • Lake Forest, CA
  • NPI 1487993481

  CT, MA

  Medicare reassignment
• Zachary T Martin, DPT

  • Physical Therapist
  • Agawam, MA
  • NPI 1215746623
  NPD

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1679123582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 SHOEMAKER LANE",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010013620",
            "telephone_number": "413-789-0752",
            "fax_number": "413-789-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SHOEMAKER LANE",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010013620",
            "telephone_number": "413-789-0752",
            "fax_number": "413-789-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-789-0752",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1902454598",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dan@resilienceptwellness.com",
            "affiliation": "N",
            "endpointDescription": "PT, Owner",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "470 Shoemaker Ln",
            "city": "Agawam",
            "state": "MA",
            "country_code": "US",
            "postal_code": "010013620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Resilience Physical Therapy and Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• John Ragno
• Almina Raneses
• Jason Christian Ravizza, M.ED.,LMHC
• Ellen Price Reidy, PT
• Reliant in-Home Care and Community Services
• Doreen Alexandria Reyes, LMT, CAGS
• Maureen Clare Reynolds, PTA
• Tiana Marie Riopelle
• Riverbend Medical Group, Inc (Trinity Health Of New England Medical Group)
• Riverside Park EMS

• Physical Therapist in Agawam, MA
• Providers in Agawam, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.