Individual provider Active NPI

David Baston, PT

  • Physical Therapist
  • Duxbury, MA
National Provider Identifier
1821360959
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9054 Issued in MA
Practice address
95 Tremont St
Suite 20
Duxbury, MA 02332-4738
Phone
(781) 934-7292
Fax
(781) 934-8112
NPI assigned
Feb 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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 9054 MA Primary

Addresses

Primary practice location

95 Tremont St
Suite 20
Duxbury, MA 02332-4738

Mailing address

95 Tremont St
Suite 20
Duxbury, MA 02332-4738
Phone (781) 934-7292

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060504000347 MA Practitioner - Physical Therapist in Private Practice 1759391774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kennedy Brothers Physical Therapy IncGroup PAC ID 9537118187, 6 clinicians

Practice addresses (Care Compare)

45 Franklin St
Boston, MA 02110-1334
Phone (617) 542-6611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9054MAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Long Pond Physical Therapy, Inc Physical Therapist CurrentSince Sep 14, 2020 Accepting new patients
Kennedy Brothers Physical Therapy Inc. Physical Therapist CurrentSince Jun 7, 2021 Accepting new patients
Kennedy Brothers Physical Therapy Inc. Physical Therapist Past Accepting new patients

Locations

45 Franklin St
Boston, MA 02110
Phone (617) 426-2226

25 Braintree Hill Park
Ofc P
Braintree, MA 02184
Phone (781) 444-1614

15 Oak St
Ste 1
Needham, MA 02492
Phone (781) 444-1614

110 Long Pond Rd
Ste 111
Plymouth, MA 02360
Phone (508) 746-6922

Organizations & group practices 3

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": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1821360959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 TREMONT ST",
            "address_2": "SUITE 20",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324738",
            "telephone_number": "781-934-7292",
            "fax_number": "781-934-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 TREMONT ST",
            "address_2": "SUITE 20",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324738",
            "telephone_number": "781-934-7292",
            "fax_number": "781-934-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTON",
        "first_name": "DAVID",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-06",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "9054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.