PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC (NPI# 1083949861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083949861 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC |
| Other Organization Name | ATI PHYSICAL THERAPY OF WESTERN MASSACHUSETTS |
| Practice Address |
70 Post Office Park Suite 7007 Wilbraham MA 01095-1287 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 4132791435 |
| Practice Fax Number | 4132791438 |
| Mailing Telephone | 6302962223 |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2017-06-08 |
| Authorized Official Name | LYNN MCGIVERN (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 6302962223 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251H1200X |
Physical Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | NETWORK HEALTH | 972730 | 01 |
| MA | UNITED HEALTHCARE | 64-04290 | 01 |
| MA | OT----BLUE CROSS BLUE SHIELD | OG0011 | 01 |
| MA | PT---BLUE CROSS BLUE SHIELD | Y61264 | 01 |
| MA | DEPT OF LABOR | 103355100 | 01 |
| MA | HEALTH NEW ENGLAND | 28117 | 01 |
| MA | TUFTS | 9715568 | 01 |
| MA | 9715568 | 05 | |
| MA | HARVARD PILGRIM | AA49027 | 01 |
| Other Name | Type Code |
|---|---|
| ATI Physical Therapy of Western Massachusetts | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164723391 | Performance Rehabilitation of Western New England LLC | Occupational Therapist | 25 Bridge Street, Belchertown, MA 01007-8909 | 2010-11-04 |
| 1710919063 | Performance Rehabilitation of Western New England LLC | Physical Therapist | 124 Myron St, West Springfield, MA 01089-1420 | 2006-07-07 |
| 1376140566 | Performance Rehabilitation of Western New England LLC | Durable Medical Equipment & Medical Supplies | 70 Post Office Park Ste 7007, Wilbraham, MA 01095-1291 | 2020-10-01 |
| 1972986073 | Performance Rehabilitation of Western New England LLC | Physical Therapist | 65 Springfield Rd, Westfield, MA 01085 | 2015-07-07 |
| 1992182695 | Performance Rehabilitation of Western New England LLC | Physical Therapist | 65 Springfield Rd, Westfield, MA 01085-1855 | 2015-05-01 |
| 1447445523 | Performance Rehabilitation of Western New England LLC | Physical Therapist | 300 Birnie Ave, Suite 304, Springfield, MA 01107 | 2007-09-11 |
| 1740345818 | Performance Rehabilitation of Western New England LLC | Occupational Therapist | 168 Denslow Rd, East Longmeadow, MA 01028-3188 | 2006-12-27 |
| Street Address |
70 POST OFFICE PARK SUITE 7007 |
| City | WILBRAHAM |
| State | MA |
| Zip Code | 01095-1287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982611620 | Lisa A. Millett | Physical Therapist | 70 Post Office Park, Suite 7007, Wilbraham, MA 01095-1290 | 2006-08-02 |
| 1659857498 | Jessica Sweeney | Physician Assistant | 70 Post Office Park, Wilbraham, MA 01095-1290 | 2018-07-16 |
| 1568986719 | Celsea Colello | Physical Therapist | 70 Post Office Park, Wilbraham, MA 01095-1290 | 2017-07-31 |
| 1982150025 | Wilbraham Dental Associates, LLC | Dentist | 70 Post Office Park, Wilbraham, MA 01095-1290 | 2016-08-29 |
| 1508234931 | Lindsey Brunette | Occupational Therapist | 70 Post Office Park, Suite 7007, Wilbraham, MA 01095-1290 | 2015-09-02 |
| 1841607041 | Jennifer Ann Lacasse | Nurse Practitioner | 70 Post Office Park, Wilbraham, MA 01095-1290 | 2014-07-20 |
| 1609154111 | Jason M Luszcz | Physician Assistant | 70 Post Office Park, Wilbraham, MA 01095-1290 | 2011-08-01 |
| 1811211303 | Caitlin Elizabeth Eckhoff | Physical Therapist | 70 Post Office Park, Suite 7007, Wilbraham, MA 01095-1287 | 2010-03-26 |
| 1053559740 | Mwa, PC | Durable Medical Equipment & Medical Supplies | 70 Post Office Park, Wilbraham, MA 01095 | 2009-02-03 |
| 1679787535 | Spencer Lee Haller | Internal Medicine | 70 Post Office Park, Wilbraham, MA 01095-1290 | 2007-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912436619 | Amanda M Bryant | Nurse Practitioner | 70 Pst Office Park, Wilbraham, MA 01095 | 2017-06-06 |
| 1568867539 | Michael Roy | Physical Therapist | 2301 Boston Rd, Wilbraham, MA 01095 | 2014-11-03 |
| 1588925440 | Jeziel Miguel Gonzalez | Physical Therapist | 6 Colonial Rd, Wilbraham, MA 01095 | 2012-06-06 |
| 1306117783 | Rosemary Wrona | Physical Therapist | 2 Lodge Ln, Wilbraham, MA 01095 | 2012-01-18 |
| 1356508584 | Big Y Foods Inc | Pharmacy | 2035 Boston Rd, Wilbraham, MA 01095 | 2008-05-16 |
| 1235315854 | Elizabeth L Rose | Pediatrics | Riverbend Medical Group, Inc, 70 Post Office Park, Wilbraham, MA 01095 | 2008-01-14 |
| 1346315140 | Mary Beth Laliberte | Physician Assistant | 2040 Boston Rd Ste 5, Wilbraham, MA 01095 | 2006-11-21 |
| 1003993668 | Anita Chopra | Dentist | 2141 Boston Road, Northeast Dental, Wilbraham, MA 01095 | 2006-11-01 |
| 1558461525 | Cynthia A Kennedy | Nurse Practitioner | 34 Sandalwood Dr, Wilbraham, MA 01095 | 2006-09-22 |
| 1063447357 | Susan W James | Social Worker | 919 Main St., Wilbraham, MA 01095 | 2006-07-12 |
| Find all providers in zip 01095 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878697 | Elizabeth Anne Hearne | Occupational Therapist | 60 Pinehurst Dr, Boxford, MA 01921-2449 | 2020-07-15 |
| 1417439878 | Emily F Freisen | Occupational Therapist | 22 Mill Street Suite 302, Arlinton, MA 02476 | 2018-09-02 |
| 1982978946 | Daniel P Joyce | Occupational Therapist | 44 Stedman Ave, Braintree, MA 02184-3218 | 2012-03-08 |
| 1104103464 | Elizabeth June Davis | Occupational Therapist | 761 Worcester Rd Fl 3, Framingham, MA 01701-5224 | 2011-11-14 |
| 1093041352 | Christina K Haufler | Occupational Therapist | 255 Washington St # 2014, Newton, MA 02458-1637 | 2009-10-21 |
| 1457524316 | Chanon Vallas | Occupational Therapist | 300 Birnie Ave Ste 304, Springfield, MA 01107-1121 | 2008-04-10 |
| 1255504734 | Kamir Pabon Smith | Occupational Therapist | 70 Francis St Fl 1, Boston, MA 02115 | 2008-04-07 |
| 1134348568 | Kara Lisa Lesiege | Occupational Therapist | 781 Worcester Rd, Metrowest Wellness Center, Framingham, MA 01701 | 2007-04-24 |
| 1457576902 | Sandra A Abdelahad | Occupational Therapist | 12 Pine Needle Rd, Mendon, MA 01756-1329 | 2007-04-17 |
| 1609995752 | Kathleen Clair Thomas | Occupational Therapist | Falmouth Hospital Rehabilitation Services 90 Ter Heun D, 90 Ter Heun Drive, Falmouth, MA 02540 | 2007-03-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.