Edward Albert Gaudet, DPT
Individual provider Active NPI Orthopedic Physical Therapist · Uxbridge, MA
NPI 1841900131 · NPPES record last updated Dec 28, 2022
Key facts
- NPI
- 1841900131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 26543 (MA)
- Practice address
- 44 Rivulet St
Uxbridge, MA 01569-3134 - Phone
- (508) 278-2002
- NPI assigned
- Nov 29, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Proex Physical Therapy LLC
Practice addresses (Care Compare)
39 Cinema Blvd
Leominster, MA 01453-3290
Phone (978) 466-6677
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230511002278 | MA | Practitioner - Physical Therapist in Private Practice | 2668838996 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26543 | MA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proex Physical Therapy, LLC | Current |
Accepting new patients | |
| Proex Physical Therapy, LLC | Orthopedic | Current |
Accepting new patients |
| Lomonaco Rehabilitation Services, Inc. | Orthopedic | Past |
Accepting new patients |
Locations
10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999
39 Cinema Blvd
Leominster, MA 01453
Phone (978) 466-6677
576 Broadhollow Rd
Melville, NY 11747
Interoperability endpoints
- fyzicaluxbridge@fyzical.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 26543 | MA | Yes |
Addresses
Primary practice location
44 Rivulet St
Uxbridge, MA 01569-3134
Mailing address
14 Sunnyside Ave
Rutland, MA 01543-1747
Phone (541) 973-1677
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26543 | Other | MA | 14587428807 |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | FyzicalUxbridge@fyzical.com | Health Information Exchange (HIE) |
Other providers in Uxbridge, MA
- Franklin Erzuah
- Evolve Ventures Technologies LLC
- Brenda Fallon
- FJR Staffing LLC
- Sarah Galgoczy
- Kristin Gauthier
- David Geyer
- Bridget Ghidoni
- Margaret Godfrey
- Corinne Myers Golshirazian
All providers in Uxbridge, MA · Orthopedic Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.