Individual provider Active NPI

Evan Daniel Healy, PT, DPT

  • Physical Therapist
  • West Yarmouth, MA
National Provider Identifier
1982195541
Registry record updated May 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23584 Issued in MA
Practice address
579 Buck Island Rd
West Yarmouth, MA 02673-3200
Phone
(508) 957-7007
NPI assigned
May 19, 2018
Last updated
May 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2018

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 23584 MA Primary

Addresses

Primary practice location

579 Buck Island Rd
West Yarmouth, MA 02673-3200

Mailing address

15 Annawon Rd
Mashpee, MA 02649-4946
Phone (508) 566-1122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201027002287 MA Practitioner - Physical Therapist in Private Practice 1557771854 Reassigns benefits to 3 organizations

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
Dufer LLCGroup PAC ID 9032356423, 12 clinicians

Practice addresses (Care Compare)

235 Cypress St
Suite 110
Brookline, MA 02445-6777
Phone (617) 860-6430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23584MAMDGeriatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dufer LLC Physical Therapist CurrentSince Sep 12, 2023 Accepting new patients
Bay State Physical Therapy of Randolph Inc CurrentSince Oct 14, 2020 Accepting new patients
Proex Physical Therapy, LLC CurrentSince Nov 22, 2021 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Oct 14, 2020 Accepting new patients
Proex Physical Therapy, LLC Physical Therapist CurrentSince Nov 22, 2021 Accepting new patients

Locations

10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999

607 Boylston St
Fl 4
Boston, MA 02116
Phone (857) 240-0909

1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525

235 Cypress St
Ste 110
Brookline, MA 02445
Phone (617) 860-6430

540 Gallivan Blvd
Ste 1
Dorchester, MA 02124
Phone (617) 282-8080

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

1054 County St
Somerset, MA 02726
Phone (508) 674-3340

576 Broadhollow Rd
Melville, NY 11747

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1526688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526688000000",
    "number": "1982195541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ANNAWON RD",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026494946",
            "telephone_number": "508-566-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 BUCK ISLAND RD",
            "city": "WEST YARMOUTH",
            "state": "MA",
            "postal_code": "026733200",
            "telephone_number": "508-957-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALY",
        "first_name": "EVAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-19",
        "last_updated": "2018-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Yarmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.