Unknown Individual – Physical Therapist, NPI 1104945310

Unknown Individual is a healthcare provider. based in Rockport, Massachusetts. specializing in Physical Therapist. They hold a License No. 6366 (MA). The NPI Number for Unknown Individual is 1104945310

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104945310
Phone
(978) 902-7383
Address
45 MAIN STREET APT 7
Deactivation Date
5 December 2024
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

  • 45 MAIN STREET APT 7

    ROCKPORT, MA 01966

    Phone: (978) 902-7383

    Fax: (978) 902-7383

    Mailing address matches the actual address.

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 01966)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1104945310 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is Unknown Individual registered?
Use Rockport, Massachusetts as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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