Organization Active NPI

Physical Therapy Innovations, Inc

  • Physical Therapist
  • Auburn, MA
National Provider Identifier
1689620452
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY INNOVATIONS, INC
Practice address
489 Washington St Ste 200
Auburn, MA 01501-5709
Phone
(508) 721-0000
Fax
(508) 721-0100
NPI assigned
May 25, 2006
Last updated
Nov 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Authorized official

Name
Colleen Friesl
Title
President
Phone
(774) 696-8309

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Geriatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251G0304X
Hand Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251H1200X
Neurology Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251N0400X
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Environmental Modification Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XE0001X
Feeding, Eating & Swallowing Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XF0002X
Gerontology Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XG0600X
Low Vision Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XL0004X
Mental Health Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XM0800X
Physical Rehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0019X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X

Addresses

Primary practice location

489 Washington St Ste 200
Auburn, MA 01501-5709

Mailing address

489 Washington Street
Suite 200
Auburn, MA 01501-5709
Phone (508) 721-0000

Other practice location 1

198 Charlton Rd Ste 2
Sturbridge, MA 01566-1571
Phone (508) 721-0000

Other practice location 2

584 Summer St
Barre, MA 01005-9548
Phone (508) 721-0000

Other practice location 3

65 South St Ste 101
Hopkinton, MA 01748-2234
Phone (508) 721-0000

Other practice location 4

165 Memorial Dr Ste A
Shrewsbury, MA 01545-6208
Phone (508) 721-0000

Other practice location 5

456 Main St Ste A-B
Holden, MA 01520-3708
Phone (508) 721-0000

Other practice location 6

75 Shore Dr
Worcester, MA 01605-3116
Phone (508) 721-0000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040204000549 MA Part B Supplier - Clinic/Group Practice 2466345491 Receives reassigned benefits from 28 practitioners
Practice locations: Auburn, MA

National Provider Directory

National Provider Directory

Locations

1 Saint Mark St
Ste B
Auburn, MA 01501
Phone (508) 407-8809

489 Washington St
Ste 200
Auburn, MA 01501
Phone 5087210000199

584 Summer St
Barre, MA 01005

725 Timpany Blvd
Ste 2
Gardner, MA 01440

456 Main St
Ste Ab
Holden, MA 01520
Phone (774) 696-8309

65 South St
Ste 101
Hopkinton, MA 01748

25 Birch St
Milford, MA 01757
Phone (508) 478-5775

165 Memorial Dr
Ste A
Shrewsbury, MA 01545

198 Charlton Rd
Ste 2
Sturbridge, MA 01566

75 Shore Dr
Worcester, MA 01605
Phone (508) 852-6694

Practitioners & affiliated clinicians

Practitioners 50

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.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1689620452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 WASHINGTON STREET",
            "address_2": "SUITE 200",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015015709",
            "telephone_number": "508-721-0000",
            "fax_number": "508-721-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 WASHINGTON ST STE 200",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015015709",
            "telephone_number": "508-721-0000",
            "fax_number": "508-721-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "198 Charlton Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Sturbridge",
            "state": "MA",
            "postal_code": "015661571",
            "country_code": "US",
            "telephone_number": "508-721-0000",
            "fax_number": "508-721-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "584 Summer St",
            "address_purpose": "LOCATION",
            "city": "Barre",
            "state": "MA",
            "postal_code": "010059548",
            "country_code": "US",
            "telephone_number": "508-721-0000",
            "fax_number": "508-721-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 South St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hopkinton",
            "state": "MA",
            "postal_code": "017482234",
            "country_code": "US",
            "telephone_number": "508-721-0000",
            "fax_number": "508-721-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 Memorial Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "MA",
            "postal_code": "015456208",
            "country_code": "US",
            "telephone_number": "508-721-0000",
            "fax_number": "508-721-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "456 Main St Ste A-B",
            "address_purpose": "LOCATION",
            "city": "Holden",
            "state": "MA",
            "postal_code": "015203708",
            "country_code": "US",
            "telephone_number": "508-721-0000",
            "fax_number": "508-721-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016053116",
            "country_code": "US",
            "telephone_number": "508-721-0000",
            "fax_number": "508-721-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICAL THERAPY INNOVATIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "FRIESL",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "774-696-8309"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Low Vision",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.