NPIMap

Organization Active NPI

Pondville Physical Therapy

  • Physical Therapist
  • Norfolk, MA
National Provider Identifier
1841686474
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6041 Issued in MA
Legal business name
PONDVILLE PHYSICAL THERAPY
Practice address
31 Pine St
Suite 102
Norfolk, MA 02056-1642
Phone
(508) 623-3700
NPI assigned
Apr 10, 2015
Organization subpart
Yes
Parent organization
PONDVILLE MEDICAL ASSOCIATES, LLC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Authorized official

Name
John D. Reilly, P.T.
Title
Physical Therapist
Phone
(781) 706-7574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 6041 MA Primary

Addresses

Primary practice location

31 Pine St
Suite 102
Norfolk, MA 02056-1642

Mailing address

31 Pine St
Suite 102
Norfolk, MA 02056-1642
Phone (508) 623-3700

National Provider Directory

National Provider Directory
Part of
Pondville Physical Therapy

Locations

31 Pine St
Ste 102
Norfolk, MA 02056
Phone (508) 623-3700

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1841686474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PINE ST",
            "address_2": "SUITE 102",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561642",
            "telephone_number": "508-623-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 PINE ST",
            "address_2": "SUITE 102",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561642",
            "telephone_number": "508-623-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONDVILLE PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PONDVILLE MEDICAL ASSOCIATES, LLC.",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "781-706-7574",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "6041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.