Bay State Physical Therapy of Randolph INC – Physical Therapist, NPI 1245340934
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Bay State Physical Therapy of Randolph INC
703 GRANITE ST STE 300
BRAINTREE, MA 021845350
Phone: (781) 961-3370
Fax: (781) 961-1291
Type: Mailing
Credit Union Way, Randolph, Norfolk County, Massachusetts, 02368, United States
RANDOLPH, MA 023684633
Phone: (781) 961-3370
Fax: (781) 961-1291
Type: Mailing
40, Centre Street, West End, Concord, Merrimack County, New Hampshire, 03301, United States
CONCORD, NH 033014214
Phone: (603) 224-3511
Fax: (603) 224-3556
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-10-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-02-29 (833 days ago).
Enrollment records
1
Earliest due date
2024-02-29
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20061002000535 | O | Physical/Occupational Therapy Group In Private Practice | NH | 2024-02-29 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 02184)
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