Individual provider Active NPI

Amy K Morin, P.T.

  • Physical Therapist
  • Westborough, MA
National Provider Identifier
1790750347
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15012 Issued in MA
Practice address
205 Turnpike Rd
Suite 3
Westborough, MA 01581
Phone
(508) 651-0051
Fax
(508) 651-0061
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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 15012 MA Primary

Addresses

Primary practice location

205 Turnpike Rd
Suite 3
Westborough, MA 01581

Mailing address

203 Oak St
Natick, MA 01760-1306
Phone (508) 651-0051

Other practice location 1

24 Lyman St Ste 120
Westborough, MA 01581-1484
Phone (508) 393-0306

Other identifiers 4

IdentifierTypeStateIssuer
0395827MedicaidMA
48409OtherMAFALLON
469934OtherMATUFTS
Y67721OtherMABLUE SHIELD

Other names 1

  • Amy K Caddigan Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100825001024 MA Practitioner - Physical Therapist in Private Practice 8426172594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rebound Physical Therapy LLCGroup PAC ID 1355375486, 21 clinicians

Practice addresses (Care Compare)

205 Turnpike Rd
Suite 3
Westborough, MA 01581-2916
Phone (508) 651-0051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15012MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Physical Therapy LLC Physical Therapist CurrentSince Oct 30, 2017 Accepting new patients
Rebound Physical Therapy LLC CurrentSince Oct 30, 2017 Accepting new patients

Locations

203 Oak St
Natick, MA 01760
Phone (508) 647-3200

205 Turnpike Rd
Ste 3
Westborough, MA 01581
Phone (508) 329-1818

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1790750347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 OAK ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601306",
            "telephone_number": "508-651-0051",
            "fax_number": "508-651-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 TURNPIKE RD",
            "address_2": "SUITE 3",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "01581",
            "telephone_number": "508-651-0051",
            "fax_number": "508-651-0061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Lyman St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Westborough",
            "state": "MA",
            "postal_code": "015811484",
            "country_code": "US",
            "telephone_number": "508-393-0306",
            "fax_number": "508-366-1413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORIN",
        "first_name": "AMY",
        "middle_name": "K",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "15012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0395827",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "48409",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "469934",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "Y67721",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "CADDIGAN",
            "middle_name": "K",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.