Organization Active NPI

Mount Hope Physical Therapy

Doing business as Mount Hope Physical & Aquatic Therapy

  • Physical Therapy Clinic/Center
  • Swansea, MA
National Provider Identifier
1871657163
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
338 Issued in MA
Legal business name
MOUNT HOPE PHYSICAL THERAPY
Doing business as
Mount Hope Physical & Aquatic Therapy
Practice address
1738 Grand Army Hwy
Swansea, MA 02777-3906
Phone
(508) 379-0090
Fax
(508) 379-6050
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Mr. Matthew J Neves II, PTA
Title
President
Phone
(508) 379-0090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 8384 MA
Physical Therapy Clinic/Center 261QP2000X 338 MA Primary

Addresses

Primary practice location

1738 Grand Army Hwy
Swansea, MA 02777-3906

Mailing address

1738 Grand Army Highway
Swansea, MA 02777
Phone (508) 379-0090

Other identifiers 6

IdentifierTypeStateIssuer
VX0303OtherMAPTAN
1942249651OtherMANPI (INDIVIDUAL)
1871657163OtherMANPI (GROUP)
1831401405OtherMANPI (INDIVIDUAL)
VX2642OtherMAPTAN
1100844814AMedicaidMA

Other names 1

  • MOUNT HOPE PHYSICAL & AQUATIC THERAPY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070111000652 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9739189911 Receives reassigned benefits from 1 practitioner
Practice locations: Swansea, MA

National Provider Directory

National Provider Directory

Locations

988 Kempton St
New Bedford, MA 02740
Phone (508) 991-4494

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1871657163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 GRAND ARMY HIGHWAY",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "02777",
            "telephone_number": "508-379-0090",
            "fax_number": "508-379-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 GRAND ARMY HWY",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027773906",
            "telephone_number": "508-379-0090",
            "fax_number": "508-379-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT HOPE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "NEVES",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-379-0090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "8384",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "VX0303",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (INDIVIDUAL)",
            "identifier": "1942249651",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (GROUP)",
            "identifier": "1871657163",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (INDIVIDUAL)",
            "identifier": "1831401405",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "VX2642",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1100844814A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNT HOPE PHYSICAL & AQUATIC THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Swansea, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.