Core Physical Therapy & Performance, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CORE PHYSICAL THERAPY & PERFORMANCE, LLC

Practice address

11 Randolph Rd
Randolph, MA 02368-4321

Phone

(508) 314-6008

NPI assigned

Jan 5, 2020

Organization subpart

No

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

Authorized official

Name

Dina Lucchesi, DPT

Title

Physical Therapist

Phone

(508) 314-6008

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1578182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578182400000",
    "number": "1851930028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 FARM ST",
            "city": "DOVER",
            "state": "MA",
            "postal_code": "020302304",
            "telephone_number": "508-314-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RANDOLPH RD",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684321",
            "telephone_number": "508-314-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PHYSICAL THERAPY & PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-05",
        "last_updated": "2020-01-05",
        "certification_date": "2020-01-05",
        "status": "A",
        "authorized_official_last_name": "LUCCHESI",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "508-314-6008",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255755831",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://coreptp.com",
            "affiliation": "N",
            "endpointDescription": "gsuite",
            "address_1": "11 Randolph Rd",
            "city": "Randolph",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023684321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathleen Marie Connell, APRN, FNP-BC
• Meicail Constant
• Elisabeth Anne Cooke, BCBA
• Elizabeth Corcoran
• Jessica Cordero
• Sarah S Correia, DOCTOR OF PHARMACY
• Karly F Covall
• Creations Health Care Inc (Creations AFC)
• Creations Health Care Inc
• Ana Lucia Crespo-Contis

• Physical Therapy Clinic/Center in Randolph, MA
• Providers in Randolph, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2020; 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.