Unknown Individual – Physical Therapist, NPI 1225150790

Unknown Individual is a healthcare provider. based in Lakeville, Massachusetts. specializing in Physical Therapist. They hold a License No. 2679 (MA). The NPI Number for Unknown Individual is 1225150790

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1225150790
Phone
(508) 947-8115
Address
203 CEDAR DR
Deactivation Date
22 November 2022
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

  • 203 CEDAR DR

    LAKEVILLE, MA 023472456

    Phone: (508) 947-8115

    Type: Mailing

  • 68 ALLISON AVE

    TAUNTON, MA 027806958

    Phone: (508) 880-0202

    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.

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Medicare Enrollment & Revalidation

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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 ·

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

Insurance plans in this area (ZIP 02347)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1225150790.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Physical Therapist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Lakeville, Massachusetts; more addresses can appear in NPPES.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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