Organization Active NPI

Pgreilly Inc

Doing business as ActiveRX Westborough

  • Physical Therapy Clinic/Center
  • Westborough, MA
National Provider Identifier
1710325774
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PGREILLY INC
Doing business as
ActiveRX Westborough
Practice address
24 Lyman St
Suite 140
Westborough, MA 01581-1484
Phone
(508) 329-1163
Fax
(508) 986-7026
NPI assigned
Jun 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Paul G Reilly
Title
Owner/Operator
Phone
(508) 329-1163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

24 Lyman St
Suite 140
Westborough, MA 01581-1484

Mailing address

24 Lyman St
Suite 140
Westborough, MA 01581-1484
Phone (508) 329-1163

Other identifiers 1

IdentifierTypeStateIssuer
0033180OtherMAMEDICARE PTAN

Other names 1

  • ActiveRX Westborough Doing business as

National Provider Directory

National Provider Directory

Locations

24 Lyman St
Ste 140
Westborough, MA 01581
Phone (508) 329-1163

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1710325774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 LYMAN ST",
            "address_2": "SUITE 140",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811484",
            "telephone_number": "508-329-1163",
            "fax_number": "508-986-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 LYMAN ST",
            "address_2": "SUITE 140",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811484",
            "telephone_number": "508-329-1163",
            "fax_number": "508-986-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PGREILLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "508-329-1163"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0033180",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ActiveRX Westborough",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 10, 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.

Verify at the official NPI Registry.