NPIMap

Organization Active NPI

Fast Track Physical Therapy, Inc.

  • Physical Therapist
  • Lowell, MA
National Provider Identifier
1720162258
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16296 Issued in MA
Legal business name
FAST TRACK PHYSICAL THERAPY, INC.
Practice address
1126 Middlesex St
Suite 3
Lowell, MA 01851-1352
Phone
(978) 459-4445
Fax
(978) 459-7555
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Authorized official

Name
Matthew J. KlaysNPI 1265813661
Title
Owner
Phone
(978) 459-4445

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 16296 MA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5232 MA
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X 7655 MA
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X 8176 MA

Addresses

Primary practice location

1126 Middlesex St
Suite 3
Lowell, MA 01851-1352

Mailing address

1126 Middlesex St
Suite 3
Lowell, MA 01851-1352
Phone (978) 459-4445

Other identifiers 1

IdentifierTypeStateIssuer
9736280OtherMAMASSHEALTH

National Provider Directory

National Provider Directory

Locations

1126 Middlesex St
Ste 3
Lowell, MA 01851
Phone (978) 459-4445

Practitioners & affiliated clinicians

Practitioners 3

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": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1720162258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 MIDDLESEX ST",
            "address_2": "SUITE 3",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018511352",
            "telephone_number": "978-459-4445",
            "fax_number": "978-459-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 MIDDLESEX ST",
            "address_2": "SUITE 3",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018511352",
            "telephone_number": "978-459-4445",
            "fax_number": "978-459-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST TRACK PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "KLAYS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-459-4445"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "16296",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "5232",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "7655",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "8176",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSHEALTH",
            "identifier": "9736280",
            "state": "MA"
        }
    ],
    "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 Aug 14, 2009; 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.