Active NPI
Luke Dilillo
- Physical Therapist
- Woburn, MA
National Provider Identifier
1689915548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20399
- Practice address
- 200 Unicorn Park Dr
Suite 201
Woburn, MA 01801-3324 - Phone
- (781) 782-1300
- Fax
- (781) 782-1350
- NPI assigned
- Mar 1, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 20399 | MA | Primary |
Addresses
Primary practice location
200 Unicorn Park Dr
Suite 201
Woburn, MA 01801-3324
Mailing address
200 Unicorn Park Dr
Suite 201
Woburn, MA 01801-3324
Phone (781) 782-1300
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmeling Physical Therapy & Sports Fitness, Inc. | Physical Therapist | Past | Accepting new patients |
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
- Danvers, MA
- NPI 1306823653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1689915548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 UNICORN PARK DR",
"address_2": "SUITE 201",
"city": "WOBURN",
"state": "MA",
"postal_code": "018013324",
"telephone_number": "781-782-1300",
"fax_number": "781-782-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UNICORN PARK DR",
"address_2": "SUITE 201",
"city": "WOBURN",
"state": "MA",
"postal_code": "018013324",
"telephone_number": "781-782-1300",
"fax_number": "781-782-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILILLO",
"first_name": "LUKE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-01",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "20399",
"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 Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.