Form First Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FORM FIRST PHYSICAL THERAPY LLC

Practice address

48 Main St
Sturbridge, MA 01566-1284

Phone

(413) 668-4758

NPI assigned

Sep 1, 2022

Last updated

Sep 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Murray, PT,DPTNPI 1518502673

Title

Physical Therapist, Owner

Phone

(413) 668-4758

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

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.

• Nicholas Thomas Murray, PT, DPT

  • Physical Therapist
  • Worcester, MA
  • NPI 1518502673
  Medicare reassignment Care Compare group NPD Authorized official
• Kristina Marie Murray, PT, DPT

  • Physical Medicine & Rehabilitation Physician
  • Sturbridge, MA
  • NPI 1275170011
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1891415469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PRATT HILL RD",
            "city": "BROOKFIELD",
            "state": "MA",
            "postal_code": "015061536",
            "telephone_number": "413-668-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MAIN ST",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661284",
            "telephone_number": "413-668-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORM FIRST PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "413-668-4758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT,DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Michael Erani, M.D.
• Eye Doc LLC
• Casey Fairbrother, PHARMD
• Junjie Fang, M.D.
• Ashraf Farid, MD
• Cynthia E Fugere, LMFT, LMHC, M.ED
• Sadie Johanna Fullam, EDD
• Amy J Gaudette, LIC. AC.
• Daniel Gaunya, DC
• Steven J Gaunya, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.