Individual provider Active NPI

Brian Thomas Clancey, PT, DPT

  • Physical Therapist
  • Framingham, MA
National Provider Identifier
1871077636
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23760 Issued in MA
Practice address
1644 Concord St Ste 1
Framingham, MA 01701-3613
Phone
(617) 634-2607
Fax
(617) 634-5733
NPI assigned
Sep 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 23760 MA Primary

Addresses

Primary practice location

1644 Concord St Ste 1
Framingham, MA 01701-3613

Mailing address

1644 Concord St Ste 1
Framingham, MA 01701-3613
Phone (617) 634-2607

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180928001988 MA Practitioner - Physical Therapist in Private Practice 2668723735 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23760MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New England Return to Sport Center CurrentSince Jan 21, 2024 Accepting new patients
Elliott Physical Therapy, Inc. Physical Therapist CurrentSince Sep 5, 2018 Accepting new patients

Locations

960 William T Morrissey Blvd
Dorchester, MA 02122
Phone (617) 506-7210

1644 Concord St
Ste 1
Framingham, MA 01701
Phone (617) 634-2607

500 E Washington St
North Attleboro, MA 02760
Phone (508) 316-0559

Organizations & group practices 2

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": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1871077636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 CONCORD ST STE 1",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017013613",
            "telephone_number": "617-634-2607",
            "fax_number": "617-634-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 CONCORD ST STE 1",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017013613",
            "telephone_number": "617-634-2607",
            "fax_number": "617-634-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANCEY",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-18",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.