BAY STATE PHYSICAL THERAPY OF RANDOLPH INC (NPI# 1164474334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164474334 |
| Entity Type | Organization |
| Organization Name | BAY STATE PHYSICAL THERAPY OF RANDOLPH INC |
| Other Organization Name | BAY STATE PHYSICAL THERAPY OF RANDOLPH PC |
| Practice Address |
1 Credit Union Way Fl 3 Randolph MA 02368-4633 |
| Practice Telephone | 7819613370 |
| Practice Fax Number | 7819611291 |
| Mailing Telephone | 7819613370 |
| Mailing Fax Number | 7819611291 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | STEVEN WINDWER (CEO) |
| Authorized Official Telephone | 7819613370 |
| Authorized Official Credential | DC/PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 225X00000X | Occupational Therapist | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | OPTUM/UHC | 684486 | 01 |
| MA | 9705601 | 05 | |
| MA | TUFTS HEALTH PLAN | 689511 | 01 |
| MA | ALLWAYS HEALTHCARE (FORMERLY NHP) | 0009411 | 01 |
| MA | HARVARD PILGRIM | 626127 | 01 |
| MA | MEDICARE PIN | PT0101 | 01 |
| MA | BLUE CROSS BLUE SHIELD (MA) | Y61008 | 01 |
| Other Name | Type Code |
|---|---|
| Bay State Physical Therapy | Doing Business As Name - Organization |
| Bay State Physical Therapy of Randolph PC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821108549 | Bay State Physical Therapy of Randolph Inc | Chiropractor | 45 Forge Hill Rd, Franklin, MA 02038-3100 | 2006-08-30 |
| 1316507627 | Bay State Physical Therapy of Randolph Inc | Chiropractor | 111 Willard St Ste 2a, Quincy, MA 02169-1274 | 2019-06-18 |
| 1245340934 | Bay State Physical Therapy of Randolph Inc | Chiropractor | 40 Centre St, Concord, NH 03301-4214 | 2006-08-30 |
| 1740390459 | Bay State Physical Therapy of Randolph Inc | Chiropractor | 362 Belmont St, Brockton, MA 02301-4950 | 2006-08-30 |
| Street Address |
1 CREDIT UNION WAY FL 3 |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-4633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808930 | Abigail R Thomas | Physical Therapist | 26 S Main St Fl 3, Randolph, MA 02368-4821 | 2020-07-14 |
| 1962052548 | Tessa Lindner | Physical Therapist | 502 N High St, Randolph, WI 53956-1117 | 2019-09-16 |
| 1649721978 | Randi Karol | Physical Therapist | 8 Robin Dr, Randolph, NJ 07869-2112 | 2016-10-21 |
| 1104376680 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 390 State Route 10 Ste 202, Randolph, NJ 07869-2141 | 2016-10-10 |
| 1548500275 | Dominic Frank Olivo | Physical Therapist | 30 Old Brookside Rd, Randolph, NJ 07869-3604 | 2013-02-16 |
| 1366787103 | Grace G Kim | Physical Therapist | 375 Dover Chester Rd, Randolph, NJ 07869-3910 | 2012-12-05 |
| 1851675409 | Sandip H Vyas | Physical Therapist | 123 Chestnut Cir, Randolph, MA 02368-2957 | 2011-09-30 |
| 1639492507 | The Randolph Pain Relief Center PC | Physical Therapist | 588 Route 10 W, Randolph, NJ 07869-2056 | 2010-03-08 |
| 1407178312 | Carrie Ann Knowlton | Physical Therapist | 127 Morris Tpke, Randolph, NJ 07869-2931 | 2010-02-18 |
| 1194903468 | Heather A. Hanson | Physical Therapist | 40 Canton St, Randolph, MA 02368-2427 | 2008-02-08 |
| Find all providers in RANDOLPH | ||||
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| 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.