Paul Fath, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23737 Issued in MA

Practice address

200 Great Rd Ste 208
Bedford, MA 01730-2717

Phone

(781) 504-2140

NPI assigned

Sep 14, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hub Physical Therapy LLC

  • Physical Therapist
  • Bedford, MA
  • NPI 1760052393
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1952916157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GREAT RD STE 208",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017302717",
            "telephone_number": "781-504-2140",
            "fax_number": "781-208-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GREAT RD STE 208",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017302717",
            "telephone_number": "781-504-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATH",
        "first_name": "PAUL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-14",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Falco, DPT
• Amanda Falcon, PHD
• Family and Laser Dentistry
• Mary Fardy, LICSW
• Sharee Monique Farley
• Alejandra Faust, PHD
• Samantha Fazio, LCSW
• Shayla Marie Ferren
• Joanne Ferrick
• Jean M. Ferrovia, LICSW

• Physical Therapist in Bedford, MA
• Providers in Bedford, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.