Active NPI
Victoria D'Agati
- Physical Therapist
- Haverhill, MA
National Provider Identifier
1891543336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 389 Main St Ste C
Haverhill, MA 01830-4062 - Phone
- (978) 478-5050
- Fax
- (978) 478-5044
- NPI assigned
- May 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | MA | Primary |
Addresses
Primary practice location
389 Main St Ste C
Haverhill, MA 01830-4062
Mailing address
576 Broadhollow Rd
Melville, NY 11747-5002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240524001886 | MA | Practitioner - Physical Therapist in Private Practice | 1052753878 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Proex Physical Therapy LLC
Practice addresses (Care Compare)
389 Main St
Suite C
Haverhill, MA 01830-4062
Phone (603) 427-8066
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proex Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Proex Physical Therapy, LLC | Current | Accepting new patients | |
| Proex Physical Therapy, LLC | Past | Accepting new patients |
Locations
10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999
389 Main St
Ste C
Haverhill, MA 01830
Phone (978) 478-5050
576 Broadhollow Rd
Melville, NY 11747
Organizations & group practices 5
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.
-
- Occupational Therapist
- Boston, MA
- NPI 1508757956
-
- Occupational Therapist
- Newton, MA
- NPI 1831879311
-
- Occupational Therapist
- Salem, MA
- NPI 1902586316
-
- Physical Therapy Clinic/Center
- West Yarmouth, MA
- NPI 1649023599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1891543336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 BROADHOLLOW RD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117475002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "389 MAIN ST STE C",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018304062",
"telephone_number": "978-478-5050",
"fax_number": "978-478-5044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'AGATI",
"first_name": "VICTORIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-09",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haverhill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.