Individual provider Active NPI

John Thomas Lapusata

  • Physical Therapist
  • Andover, MA
National Provider Identifier
1730808122
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26332 Issued in MA
Practice address
44 Park St
Andover, MA 01810-3692
Phone
(978) 409-2380
NPI assigned
Aug 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 26332 MA Primary

Addresses

Primary practice location

44 Park St
Andover, MA 01810-3692

Mailing address

68 Bristow St
Saugus, MA 01906-2841
Phone (617) 721-6493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221021000712 MA Practitioner - Physical Therapist in Private Practice 3476929191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletic Edge Physical TherapyGroup PAC ID 0042568990, 9 clinicians

Practice addresses (Care Compare)

7 Alfred St
Suite 110
Woburn, MA 01801-1900
Phone (781) 548-0969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26332MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic Edge Physical Therapy Physical Therapist CurrentSince Sep 30, 2022 Accepting new patients
Alternate Path Physical Therapy and Recovery Services Current Accepting new patients

Locations

7 Alfred St
Ste 110
Woburn, MA 01801
Phone (781) 281-2391

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1730808122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 BRISTOW ST",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019062841",
            "telephone_number": "617-721-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 PARK ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103692",
            "telephone_number": "978-409-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPUSATA",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "26332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.

Verify at the official NPI Registry.