NPIMap

Organization Active NPI

Burlington Physical Therapy, PC Dba Orthopaedics Plus

Doing business as Orthopaedics Plus

  • Physical Therapist
  • Beverly, MA
National Provider Identifier
1912204850
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
291 Issued in MA
Legal business name
BURLINGTON PHYSICAL THERAPY, PC DBA ORTHOPAEDICS PLUS
Doing business as
Orthopaedics Plus
Practice address
100 Cummings Ctr
Suite 121Q
Beverly, MA 01915
Phone
(978) 927-0907
Fax
(978) 927-0537
NPI assigned
Feb 11, 2011
Last updated
Jul 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Authorized official

Name
Mr. Justin Pezick, PTNPI 1144656166
Title
Physical Therapist/Owner
Phone
(781) 229-8011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 291 MA Primary

Addresses

Primary practice location

100 Cummings Ctr
Suite 121Q
Beverly, MA 01915

Mailing address

100 Cummings Ctr
Suite 121Q
Beverly, MA 01915-6115
Phone (978) 927-0907

Other names 1

  • Orthopaedics Plus Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040203000174 MA Part B Supplier - Clinic/Group Practice 6406749787 Receives reassigned benefits from 18 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bedford, MA; Beverly, MA; Burlington, MA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

100 Cummings Ctr
Ste 121Q
Beverly, MA 01915
Phone (978) 927-0907

Practitioners & affiliated clinicians

Practitioners 48

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.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1912204850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR",
            "address_2": "SUITE 121Q",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156115",
            "telephone_number": "978-927-0907",
            "fax_number": "978-927-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR",
            "address_2": "SUITE 121Q",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-927-0907",
            "fax_number": "978-927-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON PHYSICAL THERAPY, PC DBA ORTHOPAEDICS PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "PEZICK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "781-229-8011",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedics Plus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orthopaedics Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.