Individual provider Active NPI

Elizabeth McIntire, PT

  • Physical Therapist
  • West Springfield, MA
National Provider Identifier
1902189053
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19725 Issued in MA
Practice address
271 Park St BLDG Suite
West Springfield, MA 01089-3311
Phone
(413) 785-1153
NPI assigned
Sep 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19725 MA Primary

Addresses

Primary practice location

271 Park St BLDG Suite
West Springfield, MA 01089-3311

Mailing address

Pioneer Spine and Sports Physicians, PC
271 Park Street
West Springfield, MA 01089
Phone (413) 785-1153

Other names 1

  • Elizabeth Laroche Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120726000577 MA Practitioner - Physical Therapist in Private Practice 4880850304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

271 Park St
West Springfield, MA 01089-3311
Phone (413) 785-1153

766 N King St
Northampton, MA 01060-1142
Phone (413) 785-1153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Spine and Sports Physicians, PC Physical Therapist CurrentSince Sep 1, 2017 Accepting new patients
Pioneer Spine and Sports Physicians PC CurrentSince Sep 1, 2017 Accepting new patients
Vantage Sports and Rehab, LLC Physical Therapist PastSince Mar 21, 2010 Accepting new patients

Locations

766 N King St
Northampton, MA 01060
Phone (413) 586-0230

271 Park St
West Springfield, MA 01089
Phone (413) 785-1153

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1902189053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PIONEER SPINE AND SPORTS PHYSICIANS, PC",
            "address_2": "271 PARK STREET",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "01089",
            "telephone_number": "413-785-1153",
            "fax_number": "413-781-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 PARK ST BLDG SUITE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893311",
            "telephone_number": "413-785-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTIRE",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2024-05-17",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "LAROCHE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Springfield, MA

Sources for this page

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

Verify at the official NPI Registry.