Unknown Individual – Physical Therapist, NPI 1811070543

Unknown Individual is a healthcare provider. based in North easton, Massachusetts. specializing in Physical Therapist. They hold a License No. PT4156 (MA). The NPI Number for Unknown Individual is 1811070543

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1811070543
Phone
(508) 763-3552
Address
5 JANINE DR
Deactivation Date
15 December 2021
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

  • 1;3;5, Janine Drive, North Easton, Easton, Bristol County, Massachusetts, 02356, United States

    NORTH EASTON, MA 023561749

    Phone: (508) 763-3552

    Type: Mailing

  • 2834, Acushnet Avenue, New Bedford, Bristol County, Massachusetts, 02745, United States

    NEW BEDFORD, MA 02745

    Phone: (508) 998-8517

    Fax: (508) 998-1461

    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 02356)

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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 1811070543.
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 taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect North Easton, Massachusetts as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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