Active NPI
Lauren Corliss, DPT
- Physical Therapist
- Shrewsbury, MA
National Provider Identifier
1699168245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21616
- Practice address
- 904C Boston Tpke
Shrewsbury, MA 01545-3303 - Phone
- (508) 845-3500
- Fax
- (508) 845-7772
- NPI assigned
- Mar 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT03066 | RI | |
| Physical Therapist | 225100000X | 21616 | MA | Primary |
Addresses
Primary practice location
904C Boston Tpke
Shrewsbury, MA 01545-3303
Mailing address
703 Granite St Ste 3
Braintree, MA 02184-5350
Phone (781) 961-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
313 Speen St
Natick, MA 01760-1538
Phone (508) 655-0471
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21616 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedics New England, Inc | Physical Therapist | Current | Accepting new patients |
| Orthopedics New England, Inc | Current | Accepting new patients |
Locations
313 Speen St
Natick, MA 01760
Phone (508) 655-0471
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Natick, MA
- NPI 1497835839
Physical Therapist
-
dba Bay State Physical Therapy
- Physical Therapist
- Fall River, MA
- NPI 1164474334
-
- Orthopaedic Surgery Physician
- Hopkinton, MA
- NPI 1578101572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1699168245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 GRANITE ST STE 3",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021845350",
"telephone_number": "781-961-3700",
"fax_number": "781-961-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904C BOSTON TPKE",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015453303",
"telephone_number": "508-845-3500",
"fax_number": "508-845-7772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORLISS",
"first_name": "LAUREN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-06",
"last_updated": "2021-02-24",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT03066",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "21616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shrewsbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.