Individual provider Active NPI

Molly F Andruszkiewicz, PT, DPT

  • Physical Therapist
  • Woburn, MA
National Provider Identifier
1689003253
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20579 Issued in MA
Practice address
300 Tradecenter Ste 1650
Woburn, MA 01801-1884
Phone
(781) 935-2655
Fax
(781) 935-9097
NPI assigned
Nov 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20579 MA Primary

Addresses

Primary practice location

300 Tradecenter Ste 1650
Woburn, MA 01801-1884

Mailing address

210 Commerce Way Ste 120
Portsmouth, NH 03801-8200
Phone (603) 427-8066

Other practice location 1

173 Essex St
Swampscott, MA 01907-1150
Phone (781) 586-0550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Competitive Edge Physical Therapy & Sports Training, LLC Physical Therapist Past Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist PastSince Aug 6, 2013 Accepting new patients

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": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1689003253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 COMMERCE WAY STE 120",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038018200",
            "telephone_number": "603-427-8066",
            "fax_number": "603-501-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TRADECENTER STE 1650",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011884",
            "telephone_number": "781-935-2655",
            "fax_number": "781-935-9097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "173 Essex St",
            "address_purpose": "LOCATION",
            "city": "Swampscott",
            "state": "MA",
            "postal_code": "019071150",
            "country_code": "US",
            "telephone_number": "781-586-0550",
            "fax_number": "781-586-0125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRUSZKIEWICZ",
        "first_name": "MOLLY",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.