Organization Active NPI

Therafit 1 at Riveredge, Inc

  • Physical Therapy Clinic/Center
  • Lowell, MA
National Provider Identifier
1831134014
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
11098 Issued in MA
Legal business name
THERAFIT 1 AT RIVEREDGE, INC
Practice address
176 Walker St
Lowell, MA 01854-3126
Phone
(978) 452-9252
Fax
(978) 970-0271
NPI assigned
Jun 19, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Darin McCarthy, MSPTNPI 1174551469
Title
Treasurer / Director
Phone
(978) 452-9252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 11098 MA Primary

Addresses

Primary practice location

176 Walker St
Lowell, MA 01854-3126

Mailing address

176 Walker St
Lowell, MA 01854-3126
Phone (978) 452-9252

Other identifiers 5

IdentifierTypeStateIssuer
2008849OtherMAAETNA GROUP PROVIDER ID
800542OtherMATUFTS PROVIDER ID
72320OtherMACIGNA GROUP ID
604591OtherMAHARVARD PILGRIM GROUP ID
Y65537OtherMABLUE CROSS ID

National Provider Directory

National Provider Directory

Locations

176 Walker St
Lowell, MA 01854
Phone (978) 452-9252

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1831134014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 WALKER ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018543126",
            "telephone_number": "978-452-9252",
            "fax_number": "978-970-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 WALKER ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018543126",
            "telephone_number": "978-452-9252",
            "fax_number": "978-970-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAFIT 1 AT RIVEREDGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "DARIN",
        "authorized_official_title_or_position": "TREASURER / DIRECTOR",
        "authorized_official_telephone_number": "978-452-9252",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "11098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP PROVIDER ID",
            "identifier": "2008849",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS PROVIDER ID",
            "identifier": "800542",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GROUP ID",
            "identifier": "72320",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM GROUP ID",
            "identifier": "604591",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "Y65537",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.