Meredith Bagley, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19982 Issued in MA

Practice address

191 Watertown St
Watertown, MA 02472-2571

Phone

(617) 630-9778

Fax

(617) 630-5202

NPI assigned

Jan 13, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Boston Physical Therapy & Wellness, Inc

  • Physical Therapist
  • Medford, MA
  • NPI 1114315579
  NPD
• Motion Works Physical Therapy, LLC

  • Physical Therapist
  • Foxboro, MA
  • NPI 1548719677
  NPD (past)
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)
• Physiotherapy Associates, Inc.

  • Physical Therapy Clinic/Center
  • Monroe, CT
  • NPI 1235408840

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1730484338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023685261",
            "telephone_number": "781-961-3370",
            "fax_number": "781-767-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 WATERTOWN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722571",
            "telephone_number": "617-630-9778",
            "fax_number": "617-630-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "MEREDITH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-13",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "009020",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Aylsworth, LMHC, BC-DMT
• Ehsan Azimi, M.D.
• Casey Marie Pettit Babcock
• Joshua J. Bachand, DPT
• Erik Baghdasaryan, BSBA
• Stephen Baillargeon
• Mackenzie Rae Bain, PHARMD
• Sana Banday, D.M.D
• Wesley Ryan Barnhart, PHD
• Farah Anwar Barnouti

• All providers in Watertown, MA
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.