Michael Pellegrino, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19073 Issued in MA

Practice address

26 Mass Ave
Arlington, MA 02474-4510

Phone

(617) 828-5617

NPI assigned

Jun 14, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Peak Performance Physical Therapy and Sports Medicine LLCGroup PAC ID 5294951281, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Peak Performance Physical Therapy and Sports Medicine LLC

  • Physical Therapist
  • Arlington, MA
  • NPI 1659638567
  Medicare reassignment Care Compare group NPD Authorized official
• Joint Ventures Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Boston, MA
  • NPI 1083667901

  Physical Therapist

  NPD (past)
• Joint Ventures Physical Therapy, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Cambridge, MA
  • NPI 1972149805
  NPD (past)

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1891016853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 MASS AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024748620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 MASS AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024744510",
            "telephone_number": "617-828-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRINO",
        "first_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peak Performance Physical Therapy and Sports Medicine LLC
• Rachel Elizabeth Grace Pearson, MD
• Donna-Marie Peary, LMHC
• Tom Pedulla, LICSW
• Elena Pellegrino, MA
• Robert Pellerin
• Aldo Emilio Pena Moses, LMHC
• Anne L Pepper, LIC. AC.
• Perception Optical LLC
• Joseph R. Pereira, MSW

• Physical Therapist in Arlington, MA
• Providers in Arlington, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.