Individual provider Active NPI

Erica Kurtin, PT

  • Physical Therapist
  • Wilmington, MA
National Provider Identifier
1760974059
Registry record updated Jan 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23773 Issued in MA
Practice address
230 Lowell St Ste 2D
Wilmington, MA 01887-3088
Phone
(978) 657-7404
NPI assigned
Jun 1, 2018
Last updated
Jan 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4675 NH
Physical Therapist 225100000X 23773 MA Primary

Addresses

Primary practice location

230 Lowell St Ste 2D
Wilmington, MA 01887-3088

Mailing address

230 Lowell St
Ste 2D
Wilmington, MA 01887-3088
Phone (978) 657-7404

Other practice location 1

1595 Bridge St
Dracut, MA 01826-2696
Phone (978) 735-4479

Other names 1

  • Erica Bilodeau Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180821003361 MA Practitioner - Physical Therapist in Private Practice 9931458122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leonardo Physical TherapyGroup PAC ID 7012056286, 5 clinicians

Practice addresses (Care Compare)

230 Lowell St
Suite 2D
Wilmington, MA 01887-3088
Phone (978) 657-7404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4675NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leonardo Physical Therapy Physical Therapist CurrentSince Sep 11, 2020 Accepting new patients
Carl Gustafson LLC Physical Therapist Past Accepting new patients

Locations

230 Lowell St
Ste 2D
Wilmington, MA 01887
Phone (978) 657-7404

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610841600000",
    "number": "1760974059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 LOWELL ST",
            "address_2": "STE 2D",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873088",
            "telephone_number": "978-657-7404",
            "fax_number": "978-657-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 LOWELL ST STE 2D",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873088",
            "telephone_number": "978-657-7404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1595 Bridge St",
            "address_purpose": "LOCATION",
            "city": "Dracut",
            "state": "MA",
            "postal_code": "018262696",
            "country_code": "US",
            "telephone_number": "978-735-4479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURTIN",
        "first_name": "ERICA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4675",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "BILODEAU",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; 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.