Organization Active NPI

Lowell Physical Therapy 1

  • Physical Therapy Clinic/Center
  • Lowell, MA
National Provider Identifier
1710600093
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LOWELL PHYSICAL THERAPY 1
Practice address
325 Chelmsford St
Lowell, MA 01851-4429
Phone
(978) 455-4320
Fax
(978) 455-4325
NPI assigned
Sep 22, 2022
Last updated
Sep 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Jerome Mackesy, PTNPI 1982859443
Title
Ptco
Phone
(978) 455-4320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

325 Chelmsford St
Lowell, MA 01851-4429

Mailing address

12 Florence St
Dracut, MA 01826-3002
Phone (617) 461-8277

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1710600093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 FLORENCE ST",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018263002",
            "telephone_number": "617-461-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CHELMSFORD ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018514429",
            "telephone_number": "978-455-4320",
            "fax_number": "978-455-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWELL PHYSICAL THERAPY 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "MACKESY",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "PTCO",
        "authorized_official_telephone_number": "978-455-4320",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.