Unknown Individual – Physical Therapist, NPI 1972620003

Unknown Individual is a healthcare provider. based in South easton, Massachusetts. specializing in Physical Therapist. They hold a License No. 8456 (MA). The NPI Number for Unknown Individual is 1972620003

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1972620003
Phone
(508) 238-7897
Address
5 BRIDLE LN
Deactivation Date
19 June 2025

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5085882800
Graduation Year
1989 (37 years ago)
PAC ID
1557593118
Group Practice PAC ID
1052337391
Professional Enrollment ID
I20140414000303
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

Provider Addresses for Unknown Individual

  • 5 BRIDLE LN

    SOUTH EASTON, MA 023751404

    Phone: (508) 238-7897

    Type: Mailing

  • 50 OLIVER ST

    SUITE W-2B

    NORTH EASTON, MA 023561446

    Phone: (508) 682-0186

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

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 02375)

Loading plans...

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: 1052337391View full group profile
NameSpecialtyState
-MA
-MA
-MA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1972620003.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with South Easton, Massachusetts in the same public data insurers reference.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

108 NORTON AVE APT 12
NPI: 1831288737
675, Paramount Drive, Raynham, Bristol County, Massachusetts, 02767, United States
NPI: 1861547523

JENNIFER GALLAGHER (MSPT)

Physical Therapist
105, Washington Street, Stoughton, Norfolk County, Massachusetts, 02357, United States
NPI: 1508912627

STACY E COREY (DPT)

Physical Therapist
204, Prospect Street, Pratts Corner, Easton, Bristol County, Massachusetts, 02375, United States
NPI: 1255538849

ELIZABETH J THIBODEAU

Physical Therapist
110 Liberty St
NPI: 1043540883
19 HIGH ST
NPI: 1881924686

MS. MYLA S LACSON (RPT)

Physical Therapist
169 NORTON AVE
NPI: 1659669174

MS. MARIAN M MACARTNEY (PT)

Physical Therapist
45 HOWARD ST
NPI: 1548513021
300 N Main St
NPI: 1639591126