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DONNA DUROCHER PT
NPI 1225126113
Physical Therapist in East Longmeadow, MA

Active since October 10, 2006Accepts Medicare Assignment
94.82/100
CMS Quality Rating
168 DENSLOW ROAD, EAST LONGMEADOW, MA 01028(413) 526-9924(413) 526-9961 Get Directions Write a Review

NPPES record last updated: May 12, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Donna Durocher Pt NPPES

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

DONNA DUROCHER PT (NPI 1225126113) is an individual physical therapist in East Longmeadow, Massachusetts, licensed in Massachusetts (5320) and active in the NPI registry since October 2006. She is a graduate of Other (1984).

NPPES Registry Identity

NPI1225126113
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameDONNA DUROCHERCredential: PT
Location Address168 DENSLOW ROADEast Longmeadow, MA 01028
Mailing Address790 Remington BlvdBolingbrook, IL 60440-4909 · (630) 296-2222 · Fax (630) 759-9510
Phone(413) 526-9924
Fax(413) 526-9961
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateOctober 10, 2006
Last NPPES UpdateMay 12, 2017
✔ NPI 1225126113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MA · 5320
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
168 DENSLOW ROAD, East Longmeadow, MA 01028
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Other Identifiers 28

OtherY61264MA · Blue Cross Blue Shield Group No
Other043527MA · Connecticare Group No
Other043527497MA · Greatwest
Other043527497MA · Pioneer
Other4265439Aetna Individual No
Other972730MA · Network Health Group
Other000000035324MA · Boston Medical Health Net
Other043527497MA · Cigna Group No
Other043527497MA · Consolidate Health Plans
Medicare ID-Type UnspecifiedY69596MA · Individual Provider Numbe
Other043527497Aetna Group No
Other28117MA · Health New England Group No
Medicare ID-Type UnspecifiedPT0191MA · Group Provider Number
Other000000035257MA · Boston Medical Healthnet Group No
Other103355100MA · Department Of Labor
Other1587870MA · Cigna Individual No
Other337847MA · Tufts Individual No
Other690675MA · Tufts Group No
OtherY65488Blue Cross Blue Shield Indidual No
Other043527497MA · Gic/unicare
Other043527497MA · North Regions
Other080005320MA06Anthem Bcbs
Other11539624Caqh
Medicaid0704709MA
OtherP00420770MA · Palmetto Rr Medicare
Other043527497MA · United Health Care
Medicaid9715568MA
Other080005320MA07Anthem Bcbs

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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donna Durocher Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42246902
PECOS Enrollment IDI20050712000646

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
3,369 services333 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
2,084 services285 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
1,157 services164 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
643 services161 patients
Evaluation for physical therapy, typically 45 minutes 97163
An evaluation for physical therapy is a comprehensive assessment of your body's functionality. It typically takes 45 minutes and involves tests to determine your strength, flexibility, balance, and pain levels. This information is crucial to create a personalized therapy plan to improve your mobility and comfort.
89 services84 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.91
Improvement Activities40

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 Donna Durocher's NPI number?

The NPI number for Donna Durocher is 1225126113. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Donna Durocher located?

Donna Durocher practices at 168 Denslow Road, East Longmeadow, MA 01028. The listed phone number is (413) 526-9924.

What is Donna Durocher's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Donna Durocher enrolled in Medicare?

Yes. Donna Durocher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Donna Durocher accept?

Health plans from Anthem Blue Cross and Blue Shield list Donna Durocher 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 Donna Durocher was last updated on May 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.