Individual provider Active NPI

Marissa Chiauzzi, DPT

  • Physical Therapist
  • Boston, MA
National Provider Identifier
1861292401
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27071 Issued in MA
Practice address
330 Brookline Ave
Boston, MA 02215-5400
Phone
(617) 754-9100
NPI assigned
Mar 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 034337 AZ
Physical Therapist 225100000X 27071 MA Primary

Addresses

Primary practice location

330 Brookline Ave
Boston, MA 02215-5400

Mailing address

5 Heather Hill Rd
Acton, MA 01720-2750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250423002940 MA Practitioner - Physical Therapist in Private Practice 9537685425 Reassigns benefits to 1 organization
I20250926003910 AZ Practitioner - Physical Therapist in Private Practice 9537685425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay State Physical Therapy of Randolph IncGroup PAC ID 6305744251, 451 clinicians

Practice addresses (Care Compare)

123 Waterhouse Rd
Suite 204
Bourne, MA 02532-3890
Phone (508) 743-7215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034337AZMDPhysical Therapist
27071MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC Current Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Apr 21, 2025 Accepting new patients
BHSM Rehabilitation, LLC Physical Therapist CurrentSince Aug 27, 2025 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Aug 27, 2025 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Apr 21, 2025 Accepting new patients

Locations

2912 N West St
Flagstaff, AZ 86004
Phone (928) 214-7430

906 W University Ave
Ste 120
Flagstaff, AZ 86001
Phone (928) 556-9935

5200 E Cortland Blvd
Ste C1
Flagstaff, AZ 86004
Phone (928) 440-5094

1301 W University Ave
Flagstaff, AZ 86001
Phone (928) 556-8607

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

6380 E Grant Rd
Ste 100
Tucson, AZ 85715
Phone (520) 420-1150

123 Waterhouse Rd
Ste 204
Bourne, MA 02532
Phone (508) 743-7215

703 Granite St
Ste 3
Braintree, MA 02184

1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1861292401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HEATHER HILL RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017202750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-754-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIAUZZI",
        "first_name": "MARISSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "034337",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "27071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.