Organization Active NPI

Michaels Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Boston, MA
National Provider Identifier
1689569618
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MICHAELS PHYSICAL THERAPY LLC
Practice address
50 Malden St Apt 518
Boston, MA 02118-2893
Phone
(201) 230-5837
NPI assigned
Jun 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Michael Thakore, DPTNPI 1982245726
Title
Managing Member/Owner
Phone
(201) 230-5837

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

50 Malden St Apt 518
Boston, MA 02118-2893

Mailing address

50 Malden St Apt 518
Boston, MA 02118-2893
Phone (201) 230-5837

Other practice location 1

9 Tanager Ln
Cranbury, NJ 08512-2122
Phone (201) 230-5837

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250711000107 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8224543137 Receives reassigned benefits from 1 practitioner
Practice locations: Cranbury, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1689569618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MALDEN ST APT 518",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182893",
            "telephone_number": "201-230-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MALDEN ST APT 518",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182893",
            "telephone_number": "201-230-5837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Tanager Ln",
            "address_purpose": "LOCATION",
            "city": "Cranbury",
            "state": "NJ",
            "postal_code": "085122122",
            "country_code": "US",
            "telephone_number": "201-230-5837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAELS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "THAKORE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "201-230-5837",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.