Active NPI
Julio Xavier Raagas Mallonga, PT, DPT
- Physical Therapist
- Amherst, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23911
- Practice address
- 31 Hall Dr
Amherst, MA 01002-2751 - Phone
- (413) 256-8561
- Fax
- (866) 644-0869
- NPI assigned
- May 22, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23911 | MA | Primary |
Addresses
Primary practice location
31 Hall Dr
Amherst, MA 01002-2751
Mailing address
31 Hall Dr
Amherst, MA 01002-2751
Phone (413) 256-8561
Other practice location 1
329 Conway St
Greenfield, MA 01301-1521
Phone (413) 774-6301
Other practice location 2
238 Northampton St
Easthampton, MA 01027-1046
Phone (413) 529-9300
Other practice location 3
70 Main St
Florence, MA 01062-1466
Phone (413) 586-8400
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
31 Hall Dr
Amherst, MA 01002-2751
Phone (413) 256-4415
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Group, P.C. | Current | Accepting new patients | |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Valley Medical Group, P.C. | Physical Therapist | Current | Accepting new patients |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Valley Medical Group, P.C. | Past | Accepting new patients |
Locations
33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418
31 Hall Dr
Amherst, MA 01002
Phone (413) 256-8561
101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703
238 Northampton St
Easthampton, MA 01027
Phone (413) 529-9300
329 Conway St
Greenfield, MA 01301
Phone (413) 774-6301
70 Main St
Northampton, MA 01062
Phone (413) 586-8400
84 Willimansett St
South Hadley, MA 01075
Phone (413) 533-8501
Interoperability endpoints
- julio.xavier.mallonga.1@55.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Physical Therapist
- Greenfield, MA
- NPI 1558406512
-
- Physical Therapist
- West Springfield, MA
- NPI 1710919063
-
- Durable Medical Equipment & Medical Supplies
- Wilbraham, MA
- NPI 1376140566
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Easthampton, MA
- NPI 1982738118
-
- Family Medicine Physician
- Greenfield, MA
- NPI 1912924705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1710399829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 HALL DR",
"city": "AMHERST",
"state": "MA",
"postal_code": "010022751",
"telephone_number": "413-256-8561",
"fax_number": "866-644-0869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 HALL DR",
"city": "AMHERST",
"state": "MA",
"postal_code": "010022751",
"telephone_number": "413-256-8561",
"fax_number": "866-644-0869"
}
],
"practiceLocations": [
{
"address_1": "329 Conway St",
"address_purpose": "LOCATION",
"city": "Greenfield",
"state": "MA",
"postal_code": "013011521",
"country_code": "US",
"telephone_number": "413-774-6301",
"fax_number": "866-644-0871",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "238 Northampton St",
"address_purpose": "LOCATION",
"city": "Easthampton",
"state": "MA",
"postal_code": "010271046",
"country_code": "US",
"telephone_number": "413-529-9300",
"fax_number": "866-644-0870",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "70 Main St",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "MA",
"postal_code": "010621466",
"country_code": "US",
"telephone_number": "413-586-8400",
"fax_number": "866-644-0872",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALLONGA",
"first_name": "JULIO XAVIER",
"middle_name": "RAAGAS",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-22",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "23911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.