Individual provider Active NPI

Brittany Yaxter, DPT

  • Physical Therapist
  • Braintree, MA
National Provider Identifier
1790398386
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25001 Issued in MA
Practice address
340 Wood Rd Ste 303
Braintree, MA 02184-2404
Phone
(781) 535-6053
Fax
(781) 535-6056
NPI assigned
Aug 25, 2020
Last updated
May 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25001 MA Primary

Addresses

Primary practice location

340 Wood Rd Ste 303
Braintree, MA 02184-2404

Mailing address

73 Newton Rd Unit 101
Plaistow, NH 03865-2440
Phone (978) 388-7272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200908001212 MA Practitioner - Physical Therapist in Private Practice 5395163380 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

325 Wood Rd
Suite 108
Braintree, MA 02184-2413
Phone (781) 535-6053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25001MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mass Bay Spine & Sport Physical Therapy, Inc. Physical Therapist CurrentSince Aug 21, 2020 Accepting new patients
Pinnacle Rehabilitation Network LLC Physical Therapist CurrentSince May 9, 2022 Accepting new patients
Pinnacle Rehabilitation Network, LLC Physical Therapist CurrentSince May 9, 2022 Accepting new patients
Pinnacle Rehabilitation Network, LLC Physical Therapist CurrentSince Nov 13, 2022 Accepting new patients
Blue Hills Sport & Spine Rehabilitation, LLC Physical Therapist PastSince May 8, 2022 Accepting new patients

Locations

325 Wood Rd
Ste 108
Braintree, MA 02184
Phone (781) 535-6053

340 Wood Rd
Ste 303
Braintree, MA 02184
Phone (781) 535-6053

506 Plain St
Ste 101
Marshfield, MA 02050
Phone (781) 319-0024

91 Carver Rd
Ste E2
Plymouth, MA 02360
Phone (508) 747-2197

541 Main St
Ste 203
Weymouth, MA 02190
Phone (781) 340-1480

73 Newton Rd
Unit 101
Plaistow, NH 03865
Phone (978) 388-7272

Organizations & group practices 5

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": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1790398386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 NEWTON RD UNIT 101",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652440",
            "telephone_number": "978-388-7272",
            "fax_number": "978-388-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 WOOD RD STE 303",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842404",
            "telephone_number": "781-535-6053",
            "fax_number": "781-535-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAXTER",
        "first_name": "BRITTANY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2022-05-03",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.