Individual provider Active NPI

Gerard Joseph Dybel, PT

  • Geriatric Physical Therapist
  • Littleton, MA
National Provider Identifier
1982600573
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
8839 Issued in MA
Practice address
9 Ernie's Drive
Littleton, MA 01460
Phone
(978) 952-0193
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 8839 MA Primary

Addresses

Primary practice location

9 Ernie's Drive
Littleton, MA 01460

Mailing address

9 Ernie's Drive
Littleton, MA 01460
Phone (978) 952-0193

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090429000491 MA Practitioner - Physical Therapist in Private Practice 7618025727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Baylor College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Rehab Specialists LLCGroup PAC ID 9830414440, 2 clinicians

Practice addresses (Care Compare)

15 Tyngsboro Rd
Suite 4a
North Chelmsford, MA 01863-1370
Phone (978) 726-8310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8839MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Rehab Specialists LLC Geriatrics CurrentSince Jan 5, 2015 Accepting new patients
Connections Physical Therapy Inc Geriatrics PastSince Feb 21, 2005 Accepting new patients

Locations

15 Tyngsboro Rd
Ste 4A
North Chelmsford, MA 01863
Phone (833) 200-5055

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.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226620800000",
    "number": "1982600573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ERNIE'S DRIVE",
            "city": "LITTLETON",
            "state": "MA",
            "postal_code": "01460",
            "telephone_number": "978-952-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 ERNIE'S DRIVE",
            "city": "LITTLETON",
            "state": "MA",
            "postal_code": "01460",
            "telephone_number": "978-952-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYBEL",
        "first_name": "GERARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2008-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MA",
            "license": "8839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.