Individual provider Active NPI

Edward Albert Gaudet, DPT

  • Orthopedic Physical Therapist
  • Uxbridge, MA
National Provider Identifier
1841900131
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
26543 Issued in MA
Practice address
44 Rivulet St
Uxbridge, MA 01569-3134
Phone
(508) 278-2002
NPI assigned
Nov 29, 2022
Last updated
Dec 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 26543 MA Primary

Addresses

Primary practice location

44 Rivulet St
Uxbridge, MA 01569-3134

Mailing address

14 Sunnyside Ave
Rutland, MA 01543-1747
Phone (541) 973-1677

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address FyzicalUxbridge@fyzical.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230511002278 MA Practitioner - Physical Therapist in Private Practice 2668838996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 0345212395, 166 clinicians

Practice addresses (Care Compare)

39 Cinema Blvd
Leominster, MA 01453-3290
Phone (978) 466-6677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Proex Physical Therapy, LLC CurrentSince May 9, 2023 Accepting new patients
Proex Physical Therapy, LLC Orthopedic CurrentSince May 9, 2023 Accepting new patients
Lomonaco Rehabilitation Services, Inc. Orthopedic PastSince Dec 6, 2022 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

  • Direct secure messaging: fyzicaluxbridge@fyzical.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1841900131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SUNNYSIDE AVE",
            "city": "RUTLAND",
            "state": "MA",
            "postal_code": "015431747",
            "telephone_number": "541-973-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 RIVULET ST",
            "city": "UXBRIDGE",
            "state": "MA",
            "postal_code": "015693134",
            "telephone_number": "508-278-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDET",
        "first_name": "EDWARD",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "26543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "FyzicalUxbridge@fyzical.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "44 Rivulet St",
            "city": "Uxbridge",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015693134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Uxbridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.