Active NPI
Pgreilly Inc
Doing business as ActiveRX Westborough
- Physical Therapy Clinic/Center
- Westborough, MA
National Provider Identifier
1710325774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0033180 | Other | MA | MEDICARE PTAN |
Other names 1
- ActiveRX Westborough
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Westborough, MA
- NPI 1881032845
-
- Physical Therapist
- Westborough, MA
- NPI 1730503574
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.