OUTBACK PHYSICAL THERAPY
NPI 1114272515
Clinic/Center - Physical Therapy in Somerville, MA
About Outback Physical Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OUTBACK PHYSICAL THERAPY (NPI 1114272515) is a healthcare organization registered as a physical therapy in Somerville, Massachusetts and active in the NPI registry since July 2012. The organization lists Thomas Jacob Jotkowitz, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted 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)
Outback Physical Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Outback Physical Therapy, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 Outback Physical Therapy, Inc.'s NPI number?
The NPI number for Outback Physical Therapy, Inc. is 1114272515. It was assigned to this organization in the NPPES registry on July 23, 2012. The provider is doing business as Outback Physical Therapy.
Where is Outback Physical Therapy, Inc. located?
Outback Physical Therapy, Inc. is located at 149A Highland Ave, Somerville, MA 02143. The listed phone number is (617) 708-9300.
What is Outback Physical Therapy, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Outback Physical Therapy, Inc. enrolled in Medicare?
Yes. Outback Physical Therapy, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Outback Physical Therapy, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Outback Physical Therapy, Inc.. 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. The largest specialties are Physical Therapist in Private Practice (8) and Physical Medicine and Rehabilitation (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Outback Physical Therapy, Inc. accept?
Health plans from Anthem Blue Cross and Blue Shield list Outback Physical Therapy, Inc. 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 Outback Physical Therapy, Inc. was last updated on May 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Outback Physical Therapy · NPI 1114272515
Physical Therapy organization in Somerville, Massachusetts. Organization record, active in the CMS NPPES registry since July 23, 2012.
## Identity
- **NPI:** 1114272515 (Entity type: Organization)
- **Enumerated:** July 23, 2012
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Legal business name:** Outback Physical Therapy, Inc.
- **Organization subpart:** No
- **Authorized official:** Thomas Jotkowitz, PRESIDENT
## Practice location
- **Address:** 149A HIGHLAND AVE, Somerville, MA 02143-1650
- **Phone:** (617) 708-9300 · **Fax:** (617) 718-9303
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (8), Physical Medicine and Rehabilitation (1); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 29, 2013
- **Other identifiers:** Medicare PIN 001977901 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1114272515) · Data from the CMS NPPES public registry.