Individual provider Active NPI

Michael Thomas Muldoon, PT

  • Physical Therapist
  • Beverly, MA
National Provider Identifier
1922174184
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15754 Issued in MA
Practice address
152 Conant St Ste 301
Beverly, MA 01915-1659
Phone
(978) 927-3040
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15754 MA Primary
Physical Therapist 225100000X 3003 NH

Addresses

Primary practice location

152 Conant St Ste 301
Beverly, MA 01915-1659

Mailing address

7 Gloucester Crossing Rd
Gloucester, MA 01930-2226
Phone (978) 816-2526

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/data-research/computer-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other Fox Rehab-NH, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051214000149 NH Practitioner - Physical Therapist in Private Practice 3476574708 Reassigns benefits to 1 organization
I20210114001889 MA Practitioner - Physical Therapist in Private Practice 3476574708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehab-NH, LLCGroup PAC ID 2466741293, 24 clinicians

Practice addresses (Care Compare)

Bedford, NH 03110
Phone (877) 407-3422

152 Conant St
Suite 301
Beverly, MA 01915-1659
Phone (978) 927-3040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3003NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Orthopedic Associates Inc CurrentSince Feb 20, 2023 Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Coastal Orthopedic Associates Inc Physical Therapist CurrentSince Feb 20, 2023 Accepting new patients
Exeter Therapy Associates Inc Physical Therapist Past Accepting new patients
Access Sports Medicine & Orthopaedics, PLLC Past Accepting new patients

Locations

152 Conant St
Ste 301
Beverly, MA 01915
Phone (978) 927-3040

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

99 Conifer Hill Dr
Ste 204
Danvers, MA 01923
Phone (978) 927-3040

1 Blackburn Dr
Gloucester, MA 01930
Phone (978) 282-3698

7 Gloucester Crossing Rd
Gloucester, MA 01930
Phone (978) 529-2525

Interoperability endpoints

  • Direct secure messaging: michael.muldoon.1@30242.direct.athenahealth.com

Organizations & group practices 6

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1922174184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GLOUCESTER CROSSING RD",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302226",
            "telephone_number": "978-816-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 CONANT ST STE 301",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151659",
            "telephone_number": "978-927-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULDOON",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "15754",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3003",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/data-research/computer-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehab-NH, LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "15 Constitution Dr",
            "address_2": "1st Floor Suite 144",
            "city": "Bedford",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031106042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Jun 30, 2026; 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.