Active NPI
Pratibha Suresh Golecha, PT
- Orthopedic Physical Therapist
- Brookline, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 22623
- Practice address
- 1180 Beacon St Ste 6C
Brookline, MA 02446-3838 - Phone
- (617) 730-5337
- NPI assigned
- Dec 5, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 22623 | MA | Primary |
Addresses
Primary practice location
1180 Beacon St Ste 6C
Brookline, MA 02446-3838
Mailing address
30 Appleton PL
Arlington, MA 02476-6047
Phone (617) 852-8829
Other practice location 1
110 Haverhill Rd
Suite 101
Amesbury, MA 01913-2123
Phone (978) 378-3358
Other practice location 2
400 W Cummings Park Ste 400
Woburn, MA 01801-6519
Phone (781) 938-1223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Boston, MA 02109
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22623 | MA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts Luna Care Physical Therapy LLC | Orthopedic | Current | Accepting new patients |
| Arete Rehabilitation, Inc. | Orthopedic | Past | Accepting new patients |
Locations
10 Post Office Sq
Ste 800
Boston, MA 02109
Phone (617) 231-0011
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.
-
- Physical Therapist
- Boston, MA
- NPI 1427713742
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1962946285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 APPLETON PL",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024766047",
"telephone_number": "617-852-8829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 BEACON ST STE 6C",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463838",
"telephone_number": "617-730-5337"
}
],
"practiceLocations": [
{
"address_1": "110 Haverhill Rd",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Amesbury",
"state": "MA",
"postal_code": "019132123",
"country_code": "US",
"telephone_number": "978-378-3358",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 W Cummings Park Ste 400",
"address_purpose": "LOCATION",
"city": "Woburn",
"state": "MA",
"postal_code": "018016519",
"country_code": "US",
"telephone_number": "781-938-1223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLECHA",
"first_name": "PRATIBHA",
"middle_name": "SURESH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-05",
"last_updated": "2021-04-20",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MA",
"license": "22623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.