Active NPI
Regina Mary Raymond, DPT
- Physical Therapist
- Westborough, MA
National Provider Identifier
1679908412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20740
- Practice address
- 150 Flanders Rd
Westborough, MA 01581-1017 - Phone
- (508) 000-0000
- NPI assigned
- Sep 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 20740 | MA | Primary |
Addresses
Primary practice location
150 Flanders Rd
Westborough, MA 01581-1017
Mailing address
150 Flanders Rd
Westborough, MA 01581-1017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180514001351 | MA | Practitioner - Physical Therapist in Private Practice | 8325302664 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
112 Main St
Northborough, MA 01532-2391
Phone (508) 393-7298
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20740 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hardy Physical Therapy Rehabilitation Services Inc | Physical Therapist | Current | Accepting new patients |
Locations
112 Main St
Northborough, MA 01532
Phone (508) 393-7223
Organizations & group practices 1
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.
-
- Physical Therapist
- Northborough, MA
- NPI 1922073295
MA, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433116800000",
"number": "1679908412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 FLANDERS RD",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015811017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 FLANDERS RD",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015811017",
"telephone_number": "508-000-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMOND",
"first_name": "REGINA",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-12",
"last_updated": "2015-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "20740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.