Mobilives PT LLC
Organization Active NPI Physical Therapist · Richmond, MA
NPI 1750164091 · NPPES record last updated Aug 18, 2023
Key facts
- NPI
- 1750164091
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- MOBILIVES PT LLC
- Practice address
- 82 Pine Grove Dr
Richmond, MA 01254-5050 - Phone
- (413) 822-9456
- NPI assigned
- Aug 18, 2023
- Organization subpart
- No
Authorized official
- Name
- Tricia Wyatt, PT
- Title
- Member/Owner
- Phone
- (423) 822-9456
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231020001407 | MA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1850747247 |
Receives reassigned benefits from 1 practitioner Practice locations: Richmond, MA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
82 Pine Grove Dr
Richmond, MA 01254-5050
Mailing address
82 Pine Grove Dr
Richmond, MA 01254-5050
Other providers in Richmond, MA
- Berkshire Life Coaching and Counseling
- Christie Rose Carusotto
- Mark Fischer
- Pierce Health Consultants, LLC
- Jordyn Ann Sims Pierce
- Richmond Board of Health
- Regina Touhey Serkin
- Town of Richmond
All providers in Richmond, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.