MS. CANDICE NICHOLE REID (PT) – Physical Therapist, NPI 1053486894

MS. CANDICE NICHOLE REID (PT) is a healthcare provider. based in Boston, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 16786 (MA). The NPI Number for MS. CANDICE NICHOLE REID (PT) is 1053486894

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MS. CANDICE NICHOLE REID (PT)
NPI
1053486894
Phone
(617) 732-6853
Address
75 FRANCIS ST
Enumeration Date
21 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7812052130
Graduation Year
2004 (22 years ago)
PAC ID
6103923222
Group Practice PAC ID
6305744251
Professional Enrollment ID
I20070523000644
Address ID
MA018673603RE281XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

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Provider Addresses for MS. CANDICE NICHOLE REID (PT)

  • Brigham and Women's Hospital, 75, Francis Street, Roxbury, Boston, Suffolk County, Massachusetts, 02115, United States

    BOSTON, MA 021156110

    Phone: (617) 732-6853

    Type: Location

  • 25, Lawrence Road, Reading, Middlesex County, Massachusetts, 01867, United States

    READING, MA 018671708

    Phone: (781) 944-1894

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-05-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070523000644IPhysical Therapist In Private PracticeMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02115)

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Provider's Procedures

MS. CANDICE NICHOLE REID (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes43130

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305744251View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
-MA
-MA
-MA
-MA
Physical Therapist In Private PracticeLA
-MA
-MA
Physical Therapist In Private PracticeMA
-MA

Reviews

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Frequently asked questions

Is MS. CANDICE NICHOLE REID (PT) listed with a National Provider Identifier?
Yes — MS. CANDICE NICHOLE REID (PT) has NPI 1053486894 on file in the registry.
Active or inactive — what applies to MS. CANDICE NICHOLE REID (PT)?
You should see MS. CANDICE NICHOLE REID (PT) as active in CMS-hosted NPPES data.
What kind of doctor is MS. CANDICE NICHOLE REID (PT)?
MS. CANDICE NICHOLE REID (PT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is MS. CANDICE NICHOLE REID (PT) located near Boston?
MS. CANDICE NICHOLE REID (PT) currently maps to Boston, Massachusetts in this extract.
When was this NPI issued?
Enumeration for MS. CANDICE NICHOLE REID (PT) is noted as November 21, 2006 where the registry provides it.

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