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SOUTH SHORE SPORTS & MUSCULAR
NPI 1104822576
Physical Therapist - Orthopedic in East Weymouth, MA

Active since June 22, 2005
90 LIBBEY INDUSTRIAL PKWY, STE 103, EAST WEYMOUTH, MA 02189(781) 331-9600(781) 335-1556 Get Directions Write a Review

NPPES record last updated: December 19, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About South Shore Sports & Muscular NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH SHORE SPORTS & MUSCULAR (NPI 1104822576) is a healthcare organization registered as an orthopedic in East Weymouth, Massachusetts and active in the NPI registry since June 2005. The organization lists Stephen Lally Newcomb, General Manager, as its authorized official.

NPPES Registry Identity

NPI1104822576
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameSOUTH SHORE SPORTS & MUSCULAR
Location Address90 LIBBEY INDUSTRIAL PKWY, STE 103East Weymouth, MA 02189-3129
Mailing Address90 Libbey Industrial Pkwy, Ste 103East Weymouth, MA 02189-3129 · (781) 331-9600 · Fax (781) 335-1556
Phone(781) 331-9600
Fax(781) 335-1556
Organization SubpartNo
Authorized OfficialStephen Lally NewcombGeneral Manager · (781) 331-9600
Enumeration DateJune 22, 2005
Last NPPES UpdateDecember 19, 2011
✔ NPI 1104822576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in MA · 5290
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
90 LIBBEY INDUSTRIAL PKWY, East Weymouth, MA 02189
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Shore Sports & Muscular is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to South Shore Sports & Muscular, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Domenic Sulfaro, PT, DPT, LATC
Physical Therapist in Private Practice
NPI 1336250356
541 MAIN ST SUITE 103
South Weymouth, MA 02190
(781) 331-9600
✔ Accepts Medicare0.7 mi
Gary Kimball, PT, OCS
Physical Therapist in Private Practice
NPI 1033102199
541 MAIN ST SUITE 103
South Weymouth, MA 02190
(781) 331-9600
✔ Accepts Medicare0.7 mi
Neil Mcdermott, PT, OCS
Physical Therapist in Private Practice
NPI 1649263674
541 MAIN ST SUITE 103
South Weymouth, MA 02190
(781) 331-9600
✔ Accepts Medicare0.7 mi
Rebecca Smith, D.P.T
Physical Therapist in Private Practice
NPI 1699759084
15 ROCHE BROS WAY
North Easton, MA 02356
(781) 344-3535
✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Shore Sports & Muscular's NPI number?

The NPI number for South Shore Sports & Muscular is 1104822576. It was assigned to this organization in the NPPES registry on June 22, 2005.

Where is South Shore Sports & Muscular located?

South Shore Sports & Muscular is located at 90 Libbey Industrial Pkwy Ste 103, East Weymouth, MA 02189. The listed phone number is (781) 331-9600.

What is South Shore Sports & Muscular's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is South Shore Sports & Muscular enrolled in Medicare?

Yes. South Shore Sports & Muscular is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Shore Sports & Muscular?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to South Shore Sports & Muscular. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does South Shore Sports & Muscular accept?

Health plans from Anthem Blue Cross and Blue Shield list South Shore Sports & Muscular as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Shore Sports & Muscular was last updated on December 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.