Active NPI
Edward John Cardona, DPT
- Physical Therapist
- Waltham, MA
National Provider Identifier
1972082964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23766
- Practice address
- 431 River St
Waltham, MA 02453 - Phone
- (781) 314-1000
- NPI assigned
- Aug 9, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Occupational Therapist
- Boston, MA
- NPI 1508757956
-
- Occupational Therapist
- Newton, MA
- NPI 1831879311
-
- Occupational Therapist
- Salem, MA
- NPI 1902586316
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Proex Physical Therapy LLC
Practice addresses (Care Compare)
431 River St
Suite 4
Waltham, MA 02453-5483
Phone (603) 427-8066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180830000222 | MA | Practitioner - Physical Therapist in Private Practice | 9133479843 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proex Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Proex Physical Therapy, LLC | Current | Accepting new patients |
Locations
10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999
576 Broadhollow Rd
Melville, NY 11747
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23766 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
431 River St
Waltham, MA 02453
Mailing address
431 River St # a
Waltham, MA 02453-5476
Phone (781) 314-1000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 13, 2018.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1972082964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 RIVER ST # A",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024535476",
"telephone_number": "781-314-1000",
"fax_number": "781-314-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 RIVER ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "02453",
"telephone_number": "781-314-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDONA",
"first_name": "EDWARD",
"middle_name": "JOHN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-09",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "23766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.