Active NPI
William Michael Bertheaud, DPT
- Physical Therapist
- Lexington, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27397
- Practice address
- 16 Hayden Ave
Lexington, MA 02421-7929 - Phone
- (781) 372-7000
- NPI assigned
- Feb 2, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 27397 | MA | Primary |
Addresses
Primary practice location
16 Hayden Ave
Lexington, MA 02421-7929
Mailing address
16 Hayden Ave
Lexington, MA 02421-7929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CA, WA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lahey Clinic Inc
Practice addresses (Care Compare)
10190 Culver Blvd
Culver City, CA 90232-3152
Phone (310) 837-9700
1241 E Hillsdale Blvd
Suite 170
Foster City, CA 94404-1259
Phone (650) 571-5185
16 Hayden Ave
Lexington, MA 02421-7929
Phone (781) 372-7100
17307 SE 272ND St
Suite 142
Covington, WA 98042-5330
Phone (253) 243-7528
29 Mall Rd
Burlington, MA 01805-0001
41 Mall Rd
Burlington, MA 01805-0001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27397 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lahey Clinic, Inc. | Current | Accepting new patients | |
| Optc Westside Inc | Physical Therapist | Current | Accepting new patients |
| More Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Lahey Clinic, Inc | Current | Accepting new patients |
Locations
1633 Old Bayshore Hwy
Ste 145
Burlingame, CA 94010
Phone (650) 239-9075
10190 Culver Blvd
Culver City, CA 90232
Phone (310) 837-9700
1241 E Hillsdale Blvd
Ste 170
Foster City, CA 94404
Phone (650) 571-5185
2145 The Alameda
San Jose, CA 95126
Phone (408) 248-6886
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
16 Hayden Ave
Lexington, MA 02421
Phone (781) 372-7060
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.
-
- Physical Therapist
- San Jose, CA
- NPI 1740374529
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1891558862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 HAYDEN AVE",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024217929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 HAYDEN AVE",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024217929",
"telephone_number": "781-372-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTHEAUD",
"first_name": "WILLIAM",
"middle_name": "MICHAEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-02",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "27397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.