Evan Daniel Healy, PT, DPT
Individual provider Active NPI Physical Therapist · West Yarmouth, MA
NPI 1982195541 · NPPES record last updated May 19, 2018
Key facts
- NPI
- 1982195541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 23584 (MA)
- Practice address
- 579 Buck Island Rd
West Yarmouth, MA 02673-3200 - Phone
- (508) 957-7007
- NPI assigned
- May 19, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dufer LLC
Practice addresses (Care Compare)
235 Cypress St
Suite 110
Brookline, MA 02445-6777
Phone (617) 860-6430
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201027002287 | MA | Practitioner - Physical Therapist in Private Practice | 1557771854 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23584 | MA | MD | Geriatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay State Physical Therapy of Randolph Inc | Physical Therapist | Current |
Accepting new patients |
| Proex Physical Therapy, LLC | Current |
Accepting new patients | |
| Bay State Physical Therapy of Randolph Inc | Current |
Accepting new patients | |
| Proex Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Dufer LLC | Physical Therapist | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23584 | MA | Yes |
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
Other providers in West Yarmouth, MA
- Linda Marie Griffiths
- Zouhdi A. Hajjaj
- Mary A Hannon
- Wendy J Hartjen
- Nathaniel Hayes- Kavan
- Sandra Hebenstreit
- Hri Clinics, Inc.
- Hyannis Animal Hospital, Inc
- John C. Serijan, D.M.D., P.C.
- Roberta Ellen Jordan
All providers in West Yarmouth, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.