Active NPI
Therafit 1 at Riveredge, Inc
- Physical Therapy Clinic/Center
- Lowell, MA
National Provider Identifier
1831134014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 11098
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Darin McCarthy, MSPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2008849 | Other | MA | AETNA GROUP PROVIDER ID |
| 800542 | Other | MA | TUFTS PROVIDER ID |
| 72320 | Other | MA | CIGNA GROUP ID |
| 604591 | Other | MA | HARVARD PILGRIM GROUP ID |
| Y65537 | Other | MA | BLUE CROSS ID |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Lowell, MA
- NPI 1174551469
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
- The Braces Place of Lawrence (The Braces Place of Lowell)
- The Lowell General Hospital
- The Lowell General Hospital (Lowell General Hospital)
- The Megan House Foundation, Inc. (Megan's House)
- Tammy Deppe Theall
- Ethan Thevenin
- Nicole Ann Thibault, NP
- Erin Thielo, R.N.
- Christopher James Thomann
- Jenna Olivia Thomas
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.