NPIMap

Organization Active NPI

Plymouth Bay Orthopedic Associates Inc.

Doing business as Plymouth Bay Orthopedic & Sports Therapy

  • Occupational Therapist
  • Duxbury, MA
National Provider Identifier
1881603868
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
PLYMOUTH BAY ORTHOPEDIC ASSOCIATES INC.
Doing business as
Plymouth Bay Orthopedic & Sports Therapy
Practice address
95 Tremont St
Suite 20
Duxbury, MA 02332-4738
Phone
(781) 934-7292
Fax
(781) 934-8112
NPI assigned
Aug 7, 2006
Last updated
Aug 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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

Authorized official

Name
R. Scott Oliver, M.D.NPI 1235245135
Title
Owner
Phone
(781) 934-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

95 Tremont St
Suite 20
Duxbury, MA 02332-4738

Mailing address

95 Tremont St
Suite 1
Duxbury, MA 02332-4738

Other identifiers 6

IdentifierTypeStateIssuer
621691OtherMAHARVARD PILGRIM HEALTH
Y61086OtherMAPHYSICAL THERAPY
0421932 002OtherMACIGNA HEALTHCARE
805013OtherMATUFTS HEALTH PLAN
OG0012OtherMAOCCUPATIONAL THERAPY
61233OtherMAAETNA USHEALTHCARE

Other names 1

  • PLYMOUTH BAY ORTHOPEDIC & SPORTS THERAPY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031203000342 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375448335 Receives reassigned benefits from 14 practitioners
Practice locations: Plymouth, MA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Plymouth Bay Ortho Spor5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

95 Tremont St
Ste 20
Duxbury, MA 02332
Phone (781) 934-7292

40 Industrial Park Rd
Ste D
Plymouth, MA 02360
Phone (508) 746-6178

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503360000000",
    "number": "1881603868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 TREMONT ST",
            "address_2": "SUITE 1",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 TREMONT ST",
            "address_2": "SUITE 20",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324738",
            "telephone_number": "781-934-7292",
            "fax_number": "781-934-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH BAY ORTHOPEDIC ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2017-08-22",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "R. SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-934-2400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "621691",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "Y61086",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "0421932 002",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "805013",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY",
            "identifier": "OG0012",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHEALTHCARE",
            "identifier": "61233",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLYMOUTH BAY ORTHOPEDIC & SPORTS THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; 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.