NPIMap

Organization Active NPI

Physioworks, LLC

  • Physical Therapist
  • Nantucket, MA
National Provider Identifier
1932355336
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17468 Issued in MA
Legal business name
PHYSIOWORKS, LLC
Practice address
23 W Chester St
Apartment 5
Nantucket, MA 02554-3680
Phone
(508) 680-1276
Fax
(508) 680-1427
NPI assigned
Aug 18, 2008
Last updated
Oct 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Authorized official

Name
Mr. Michael R Garrett, MSC HONS P.TNPI 1225098544
Title
Owner
Phone
(508) 680-1276

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 17468 MA Primary

Addresses

Primary practice location

23 W Chester St
Apartment 5
Nantucket, MA 02554-3680

Mailing address

23 W Chester St
Apartment 5
Nantucket, MA 02554-3680
Phone (508) 680-1276

Other identifiers 2

IdentifierTypeStateIssuer
650041OtherMATUFTS
Y68819OtherMABLUE CROSS OF MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1932355336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 W CHESTER ST",
            "address_2": "APARTMENT 5",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025543680",
            "telephone_number": "508-680-1276",
            "fax_number": "508-680-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 W CHESTER ST",
            "address_2": "APARTMENT 5",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025543680",
            "telephone_number": "508-680-1276",
            "fax_number": "508-680-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOWORKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-680-1276",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSC HONS P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "650041",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MA",
            "identifier": "Y68819",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nantucket, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.