Unknown Individual – Physical Medicine & Rehabilitation Physician, NPI 1285657924

Physical Medicine & Rehabilitation Physician

Unknown Individual is a healthcare provider. based in Norwell, Massachusetts. specializing in Physical Medicine & Rehabilitation Physician. They hold a License No. 54899 (MA). The NPI Number for Unknown Individual is 1285657924

Main info

Organization

Inactive

47 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1285657924

Phone

(781) 659-2521

Address

36 FARRAR FARM RD

Deactivation Date

7 September 2022

Doctor Profile

Medical School Name

UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON

Secondary Phone

5085805380

Graduation Year

1979 (47 years ago)

PAC ID

8820086382

Professional Enrollment ID

I20040504000226

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience14

Completeness75

Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

36, Farrar Farm Road, Brantwood Manor, Norwell, Plymouth County, Massachusetts, 02239, United States
NORWELL, MA 020611720
Phone: (781) 659-2521
Fax: (508) 580-1875
Type: Mailing
377, Belmont Street, Brockton, Plymouth County, Massachusetts, 02301, United States
BROCKTON, MA 023014995
Phone: (508) 580-5380
Fax: (508) 580-1875
Type: Location

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 02061)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?

NPI numbers are unique to each provider or organization — Unknown Individual uses 1285657924.

Is Unknown Individual excluded from programs when inactive?

The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.

What is Unknown Individual's primary classification?

Physical Medicine & Rehabilitation Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.

Where should I expect Unknown Individual on a map?

Expect Norwell, Massachusetts as a primary anchor for Unknown Individual unless the record lists multiple sites.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.