Active NPI
Patriot All Pro Physical Therapy Centers
- Specialist
- Brockton, MA
National Provider Identifier
1841348505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 229
- Legal business name
- PATRIOT ALL PRO PHYSICAL THERAPY CENTERS
- Practice address
- 348 N Pearl St
Brockton, MA 02301-1197 - Phone
- (508) 897-0056
- Fax
- (508) 584-5630
- NPI assigned
- Jan 8, 2007
- Last updated
- May 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
- Mrs. Rhonda P. Tippett
- Title
- Vice President
- Phone
- (508) 897-0056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 229 | MA | Primary |
Addresses
Primary practice location
348 N Pearl St
Brockton, MA 02301-1197
Mailing address
348 N Pearl St
Brockton, MA 02301-1197
Phone (508) 897-0056
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9720430 | Other | MA | MASS HEALTH |
| 0033304 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 695105 | Other | MA | TUFTS HEALTH PLAN |
| 24063 | Other | MA | BMC HEALTH NET |
| 9720430 | Medicaid | MA | |
| 626334 | Other | MA | HARVARD PILGRIM HEALTHCARE |
| Y61278 | Other | MA | BLUE CROSS BLUE SHIELD OF MA |
| 968175 | Other | MA | NETWORK HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
165 Westgate Dr
Brockton, MA 02301
Phone (508) 583-5800
1460 Dorchester Ave
Dorchester, MA 02122
Phone (617) 282-8700
490 Union Ave
Framingham, MA 01702
Phone (508) 620-0056
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
- Attleboro, MA
- NPI 1083689467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211241600000",
"number": "1841348505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 N PEARL ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011197",
"telephone_number": "508-897-0056",
"fax_number": "508-584-5630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 N PEARL ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011197",
"telephone_number": "508-897-0056",
"fax_number": "508-584-5630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRIOT ALL PRO PHYSICAL THERAPY CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2008-05-20",
"status": "A",
"authorized_official_last_name": "TIPPETT",
"authorized_official_first_name": "RHONDA",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "508-897-0056",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS HEALTH",
"identifier": "9720430",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0033304",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "695105",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTH NET",
"identifier": "24063",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9720430",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCARE",
"identifier": "626334",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MA",
"identifier": "Y61278",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "968175",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.