Individual provider Active NPI

Elizabeth Towle, MSPT

  • Physical Therapist
  • Wilbraham, MA
National Provider Identifier
1942473939
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18203 Issued in MA
Practice address
70 Post Office Park Ste 7007
Wilbraham, MA 01095-1291
Phone
(413) 279-1435
Fax
(413) 279-1438
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 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 18203 MA Primary

Addresses

Primary practice location

70 Post Office Park Ste 7007
Wilbraham, MA 01095-1291

Mailing address

790 Remington Blvd # 318
Bolingbrook, IL 60440-4909

Other practice location 1

700 N Colorado Blvd
# 318
Denver, CO 80206
Phone (866) 801-9492

Other names 1

  • Elizabeth Myrick Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240604002642 MA Practitioner - Physical Therapist in Private Practice 1557803624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

70 Post Office Park
Suite 707
Wilbraham, MA 01095-1290
Phone (413) 279-1435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18203MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince May 28, 2024 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince May 28, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

790 Remington Blvd
#318
Bolingbrook, IL 60440

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

70 Post Office Park
Ste 7007
Wilbraham, MA 01095
Phone (413) 273-1435

70 Post Office Park
#707
Wilbraham, MA 01095
Phone (413) 279-1435

Organizations & group practices 2

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": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1942473939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD # 318",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 POST OFFICE PARK STE 7007",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951291",
            "telephone_number": "413-279-1435",
            "fax_number": "413-279-1438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 N Colorado Blvd",
            "address_2": "# 318",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "80206",
            "country_code": "US",
            "telephone_number": "866-801-9492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOWLE",
        "first_name": "ELIZABETH",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MYRICK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilbraham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.