MASONIC HEALTH SYSTEM OF MASSACHUSETTS INC. (NPI# 1255516605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255516605 |
| Entity Type | Organization |
| Organization Name | MASONIC HEALTH SYSTEM OF MASSACHUSETTS INC. |
| Other Organization Name | OVERLOOK OUTPATIENT REHABILITATION AND WELLNESS |
| Practice Address |
88 Masonic Home Rd Charlton MA 01507-1394 |
| Practice Telephone | 5084342010 |
| Practice Fax Number | 5088317165 |
| Mailing Telephone | 5084342010 |
| Mailing Fax Number | 5088317165 |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2013-04-24 |
| Authorized Official Name | PAMELA A JONES (VP FINANCE TREASURER) |
| Authorized Official Telephone | 5084342412 |
| 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 | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9743481 | 05 |
| Other Name | Type Code |
|---|---|
| Overlook Outpatient Rehabilitation and Wellness | Doing Business As Name - Organization |
| Street Address |
88 MASONIC HOME RD |
| City | CHARLTON |
| State | MA |
| Zip Code | 01507-1394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184613275 | Overlook Masonic Health Center Inc | Non-emergency Medical Transport (VAN) | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2005-10-20 |
| 1861091043 | Nicole Marie Marchand | Nurse Practitioner | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2020-10-20 |
| 1912401597 | Lori Fasano | Physical Therapist | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2018-03-20 |
| 1033657341 | Jennifer Marie Olsen Pratt | Physical Therapist | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2017-02-07 |
| 1942748256 | Mary Cierpich | Occupational Therapist | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2017-02-07 |
| 1710359583 | Starr Aldrich | Occupational Therapy Assistant | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2015-10-20 |
| 1467824235 | Jacquelyn M Kallio | Physical Therapy Assistant | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2015-10-20 |
| 1023424348 | Holly Mcclure | Nurse Practitioner | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2014-07-08 |
| 1417230301 | Emly Casey | Occupational Therapist | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2011-09-27 |
| 1356657563 | Kristin Anne Mattson | Physical Therapist | 88 Masonic Home Rd, Charlton, MA 01507-1394 | 2010-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179653 | Lissette Hernandez | Counselor | 159 C Worcester Road, Charlton, MA 01507 | 2020-06-23 |
| 1841657426 | Renee M Gomez-chlebica Od LLC | Optometrist | 109-6 Masonic Home Rd., Charlton, MA 01507 | 2016-01-27 |
| 1467728725 | Rebecca Bullock | Occupational Therapist | 11 Sunset Drive, Charlton, MA 01507 | 2012-03-30 |
| 1326347139 | Michelle Beshire | Pharmacist | 188 Center Depot Rd, Charlton, MA 01507 | 2011-03-18 |
| 1063710762 | Daniel R Tetreault | Specialist/Technologist | 70 Hanson Road, Charlton, MA 01507 | 2011-03-03 |
| 1508901828 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 142 Worcester Rd, Charlton, MA 01507 | 2007-02-21 |
| 1780727743 | Peter Maly | Technician/Technologist | 109-6 Masonic Home Road, Charlton, MA 01507 | 2007-02-15 |
| 1083680128 | Mary-elise Smith | Emergency Medicine | 10 North Main Street, Charlton, MA 01507 | 2006-02-28 |
| 1932183241 | Steven V Vachula II | Optometrist | 20 Southbridge Rd, Charlton, MA 01507 | 2005-11-30 |
| 1154304228 | Teddi Bachawaty | Obstetrics & Gynecology | 9 Trolley Crossing Rd, Charlton, MA 01507 | 2005-11-22 |
| Find all providers in zip 01507 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649732074 | Dg Physical Therapy PC | Clinic/Center | 242 Sturbridge Rd, Charlton, MA 01507-5327 | 2019-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102002 | Start Inc | Clinic/Center | 4 Meeting House Rd Ste 5, Chelmsford, MA 01824-2775 | 2020-10-20 |
| 1003429010 | Optimal Therapy Solutions, LLC | Clinic/Center | 127 Bel Air Drive, Longmeadow, MA 01106 | 2020-08-28 |
| 1780201210 | K&s Recovery LLC | Clinic/Center | 763 Waverley St, Framingham, MA 01702-8567 | 2020-06-30 |
| 1497308795 | Dg Physical Therapy, P.C. | Clinic/Center | 489 Bearses Way Unit B, Hyannis, MA 02601-2707 | 2019-07-17 |
| 1730641168 | Dg Physical Therapy PC | Clinic/Center | 73 Canal St, Millbury, MA 01527-3253 | 2019-04-04 |
| 1598288102 | Napa Center, Inc. | Clinic/Center | 1 Badger Rd, Framingham, MA 01702-5517 | 2017-07-25 |
| 1750784161 | Genesis Healthcare | Clinic/Center | 4380 N Main St, Fall River, MA 02720-1711 | 2014-09-29 |
| 1396168639 | Transitions In Motion, LLC | Clinic/Center | 162 Shea Ave, Belchertown, MA 01007-9329 | 2014-01-22 |
| 1235560699 | Preferred Therapy Solutions,llc | Clinic/Center | 10 Cudworth Rd, Webster, MA 01570-3100 | 2013-12-10 |
| 1063658946 | Rehabilitation Associates, Inc. | Clinic/Center | 80 Access Rd, Norwood, MA 02062-5237 | 2008-12-26 |
| Find all providers with the same taxonomy | ||||
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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.