Nantasket Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NANTASKET PHYSICAL THERAPY LLC

Practice address

121 Nantasket Ave
Suite 105
Hull, MA 02045-3106

Phone

(781) 925-0747

NPI assigned

May 25, 2011

Last updated

Sep 6, 2022By 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

Candice O'Connell

Title

Member/Manager

Phone

(617) 529-4895

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 2

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.

• John Reilly, PT

  • Physical Therapist
  • Hull, MA
  • NPI 1932113941
  Medicare reassignment NPD
• Candice Marie Morgan, PTA

  • Physical Therapy Assistant
  • Hyde Park, MA
  • NPI 1194750497
  NPD

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1790078665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 NANTASKET AVE",
            "address_2": "SUITE105",
            "city": "HULL",
            "state": "MA",
            "postal_code": "02045",
            "telephone_number": "781-925-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NANTASKET AVE",
            "address_2": "SUITE 105",
            "city": "HULL",
            "state": "MA",
            "postal_code": "020453106",
            "telephone_number": "781-925-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANTASKET PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "617-529-4895"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Gaeta Nagiec, QP, MS, LMFTA
• Nantasket Eye Care Associates Inc
• Nantasket Eye Care Associates, LLC
• Nantasket Family Dental
• Nantasket Pharmacy Inc
• Donna Nelson, RN
• Bertide Neptune
• Katharine Niven, LMHC
• Anna Olore
• Bilun Ozbilen

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.