Long Pond Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

162 Issued in MA

Legal business name

LONG POND PHYSICAL THERAPY, INC

Practice address

110 Long Pond Rd
Suite 111
Plymouth, MA 02360-2642

Phone

(508) 746-6922

Fax

(508) 746-7211

NPI assigned

May 8, 2007

Last updated

Apr 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jen Tirrell

Title

Office Manager

Phone

(508) 746-6922

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 6

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.

• Lori Barberia

  • Physical Therapist
  • Plymouth, MA
  • NPI 1407229818
  Medicare reassignment Care Compare group NPD
• Andrew J Burke Jr., MSPT

  • Physical Therapist
  • Plymouth, MA
  • NPI 1598738478
  Medicare reassignment Care Compare group NPD
• Kyle Edwin Martinis, PT, DPT

  • Physical Therapist
  • Norfolk, MA
  • NPI 1104293950
  Medicare reassignment Care Compare group NPD
• Chelsea A Aaron, DPT, PT

  • Physical Therapist
  • Pembroke, MA
  • NPI 1558886119
  Medicare reassignment NPD
• David Baston, PT

  • Physical Therapist
  • Duxbury, MA
  • NPI 1821360959
  Medicare reassignment NPD
• Kara McKeown, PT

  • Physical Therapist
  • Plymouth, MA
  • NPI 1013551555
  NPD

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1760695324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LONG POND RD",
            "address_2": "SUITE 111",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602642",
            "telephone_number": "508-746-6922",
            "fax_number": "508-746-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LONG POND RD",
            "address_2": "SUITE 111",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602642",
            "telephone_number": "508-746-6922",
            "fax_number": "508-746-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG POND PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "TIRRELL",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-746-6922",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Rae Logan, LMT/ PTA
• Beth T Lombardo
• Taylor Lombardo
• Katelyn Margaret Anna Lonergan, PA-C
• Long Pond Pediatrics and Osteopathy, PC
• Ellen F Long, BCBA, LABA
• Joan M Long, R.P.T.
• Kimberly Ann Lonis-Scheub, M.D.
• Jesselee Loomis
• Hannah Elizabeth Lopes, AUD

• Physical Therapist in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.