Eric Michael Connolly, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12189 Issued in MA

Practice address

670 Linwood Ave
Suite 2
Whitinsville, MA 01588-2068

Phone

(508) 234-7544

Fax

(508) 234-8002

NPI assigned

Aug 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blackstone Valley Physical Therapy Services IncGroup PAC ID 1153217138, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Blackstone Valley Physical Therapy Services Inc

  • Physical Therapist
  • Whitinsville, MA
  • NPI 1598766198
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1700887999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 LINWOOD AVE",
            "address_2": "SUITE 2",
            "city": "WHITINSVILLE",
            "state": "MA",
            "postal_code": "015882068",
            "telephone_number": "508-234-7544",
            "fax_number": "508-234-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 LINWOOD AVE",
            "address_2": "SUITE 2",
            "city": "WHITINSVILLE",
            "state": "MA",
            "postal_code": "015882068",
            "telephone_number": "508-234-7544",
            "fax_number": "508-234-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "ERIC",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "12189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6404497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y68122",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "470091",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Riley Clemente
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• David Arthur Cloutier, LMHC
• Christie Jane Cnossen, M.S., LMHC
• Community Roots Integrative Health and Primary Care, PLLC
• Cooper Dental, LLC
• Howard Robert Cooper, D.M.D.
• Michael A Cooper, D.M.D.
• Megan Covitz
• Kayla Creighton

• Physical Therapist in Whitinsville, MA
• Providers in Whitinsville, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.