Active NPI
Michael Thomas Muldoon, PT
- Physical Therapist
- Beverly, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15754
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, MA
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3003 | NH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Orthopedic Associates Inc | Current | Accepting new patients | |
| Beth Israel Lahey Health Specialty Care, Inc. | Current | Accepting new patients | |
| Coastal Orthopedic Associates Inc | Physical Therapist | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Beverly, MA
- NPI 1548350945
Physical Therapist
-
- Physical Therapist
- Bedford, NH
- NPI 1811355373
-
- Internal Medicine Physician
- Gloucester, MA
- NPI 1235147760
-
- Orthopaedic Surgery Physician
- Danvers, MA
- NPI 1003507013
-
- Orthopaedic Surgery Physician
- Exeter, NH
- NPI 1508938614
-
- Physical Therapist
- Exeter, NH
- NPI 1639233653
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.