Individual provider Active NPI

Maddison Avergon

  • Physical Therapist
  • Westborough, MA
National Provider Identifier
1699497941
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL26230 Issued in MA
Practice address
24 Lyman St Ste 120
Westborough, MA 01581-1484
Phone
(508) 393-0306
NPI assigned
Sep 14, 2022
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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 PTL26230 MA Primary

Addresses

Primary practice location

24 Lyman St Ste 120
Westborough, MA 01581-1484

Mailing address

21 Hundreds Rd
Westborough, MA 01581-2401

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221012001852 MA Practitioner - Physical Therapist in Private Practice 9032585302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DG Physical Therapy PCGroup PAC ID 0143503680, 42 clinicians

Practice addresses (Care Compare)

154 E Main St
Westborough, MA 01581-1768
Phone (508) 366-7899

Merit-based Incentive Payment System (MIPS)

Final score
85.19 of 100Reported as group
Quality
86.04
Improvement activities
40
Cost
76.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26230MAMDCritical Care Pharmacist
PTL26230MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DG Physical Therapy, P.C. CurrentSince Nov 1, 2023 Accepting new patients
DG Physical Therapy PC Physical Therapist Current Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Sep 19, 2022 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist Current Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Sep 19, 2022 Accepting new patients
DG Physical Therapy, P.C. CurrentSince Nov 1, 2023 Accepting new patients
Carl Gustafson LLC Physical Therapist Past Accepting new patients

Locations

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

4 Meeting House Rd
Ste 5
Chelmsford, MA 01824
Phone (978) 970-2460

154 E Main St
Westborough, MA 01581
Phone (508) 366-7899

24 Lyman St
Ste 120
Westborough, MA 01581
Phone (508) 366-1433

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1699497941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HUNDREDS RD",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 LYMAN ST STE 120",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811484",
            "telephone_number": "508-393-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERGON",
        "first_name": "MADDISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL26230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.

Verify at the official NPI Registry.