Individual provider Active NPI

Krista Virgin, PT

  • Physical Therapist
  • Saugus, MA
National Provider Identifier
1821312778
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18670 Issued in MA
Practice address
880 Broadway
Saugus, MA 01906-3284
Phone
(978) 352-5510
Fax
(978) 352-5530
NPI assigned
Mar 22, 2010
Last updated
Mar 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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 18670 MA Primary

Addresses

Primary practice location

880 Broadway
Saugus, MA 01906-3284

Mailing address

880 Broadway
Saugus, MA 01906-3284
Phone (978) 352-5510

Other identifiers 1

IdentifierTypeStateIssuer
1659425973MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100520000013 MA Practitioner - Physical Therapist in Private Practice 8921137548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners in Rehabilitation LLCGroup PAC ID 0345232849, 4 clinicians

Practice addresses (Care Compare)

880 Broadway
Suite M
Saugus, MA 01906-3284
Phone (781) 233-2111

Merit-based Incentive Payment System (MIPS)

Final score
21.57 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18670MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Rehabilitation LLC CurrentSince Mar 24, 2010 Accepting new patients

Locations

64 E Main St
Georgetown, MA 01833
Phone (978) 352-5510

880 Broadway
Saugus, MA 01906
Phone (781) 233-2111

880 Broadway
Ste M
Saugus, MA 01906
Phone (781) 233-2111

Organizations & group practices 1

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": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1821312778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 BROADWAY",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063284",
            "telephone_number": "978-352-5510",
            "fax_number": "978-352-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 BROADWAY",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063284",
            "telephone_number": "978-352-5510",
            "fax_number": "978-352-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRGIN",
        "first_name": "KRISTA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659425973",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugus, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.