Gina Azar, PT
Individual provider Active NPI Physical Therapist · Needham, MA
NPI 1821079443 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1821079443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 16038 (MA)
- Practice address
- 220 Reservoir St 32
Needham, MA 02494-3133 - Phone
- (781) 400-1236
- Fax
- (781) 400-1247
- NPI assigned
- Nov 10, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Soma Physical Therapy and Rehab, LLC
Practice addresses (Care Compare)
220 Reservoir St
Suite 32
Needham, MA 02494-3133
Phone (781) 400-1236
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050303000282 | MA | Practitioner - Physical Therapist in Private Practice | 8022062918 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soma Physical Therapy and Rehab, LLC | Physical Therapist | Current |
Accepting new patients |
| Connections Physical Therapy Inc | Physical Therapist | Past |
Accepting new patients |
Locations
220 Reservoir St
Ste 32
Needham Heights, MA 02494
Phone (781) 400-1236
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16038 | MA | Yes |
Addresses
Primary practice location
220 Reservoir St 32
Needham, MA 02494-3133
Mailing address
220 Reservoir St 32
Needham, MA 02494-3133
Phone (781) 400-1236
Other providers in Needham, MA
- Julia Averna
- Avery Manor Nursing, L.L.C.
- Elizabeth Aveson
- Michelle Lynn Avigan
- Amaka Awuzie
- Suren Azizian
- Cory Babineau
- Denise A Bach
- Madeline Bachta
- Kimberly Ann Baldasaro
All providers in Needham, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.