Organization Active NPI

At Home Physical Therapy Inc

  • Physical Medicine & Rehabilitation Physician
  • Newton, MA
National Provider Identifier
1760925929
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
AT HOME PHYSICAL THERAPY INC
Practice address
63 Page Rd
Newton, MA 02460-1534
Phone
(617) 306-6519
NPI assigned
Nov 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Authorized official

Name
Ray D MunnNPI 1649368028
Title
PT
Phone
(617) 306-6519

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

63 Page Rd
Newton, MA 02460-1534

Mailing address

30 Playstead Rd
Newton, MA 02458-2125

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171204002451 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1254698061 Receives reassigned benefits from 8 practitioners
Practice locations: Newtonville, MA

National Provider Directory

National Provider Directory

Locations

130 Rumford Ave
Ste 106
Auburndale, MA 02466
Phone (508) 775-7151

Practitioners & affiliated clinicians

Practitioners 8

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": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1760925929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PLAYSTEAD RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 PAGE RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601534",
            "telephone_number": "617-306-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "MUNN",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "617-306-6519"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.