LAUREN DOWNES PT
NPI 1245328095
Physical Therapist in East Longmeadow, MA

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

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lauren Downes Pt NPPES

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

LAUREN DOWNES PT (NPI 1245328095) is an individual physical therapist in East Longmeadow, Massachusetts, licensed in Massachusetts (15065) and active in the NPI registry since October 2006. She maintains a secondary practice location in East Longmeadow and is a graduate of Boston University School Of Medicine (2000).

NPPES Registry Identity

NPI1245328095
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameLAUREN DOWNESCredential: PT
Location Address168 DENSLOW RDEast Longmeadow, MA 01028-3188
Mailing Address790 Remington BlvdBolingbrook, IL 60440-4909 · (866) 370-8206 · Fax (517) 435-3670
Fax(413) 526-9961
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2000
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 21, 2023
NPPES CertifiedJuly 21, 2023
NPI 1245328095 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 · 15065
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 RD, East Longmeadow, MA 01028

Secondary Practice Location 1

Location 180 Denslow RdEast Longmeadow, MA 01028-3103 · Phone (413) 526-9969 ext. 114 · Fax (413) 526-9960

Other Identifiers 19

Other043527497MA · Gic/unicare
Other28117MA · Health New England Group No.
OtherY67973MA · Bc Bs Individual No
Other000000035264MA · Boston Medical Health Net Group No.
Other972730MA · Network Health
Other000000035328MA · Boston Medical Health Net Individual No
Other043527497MA · Aetna
Other043527497MA · United Health Care
Other043527497MA · Pioneer
Medicaid9715568MA
Other043527497MA · Consolidated
Other043527497MA · Cigna Group No.
Other103355100MA · Department Of Labor
Other10456584MA · Caqh
Other690675MA · Tufts Group
Other043527MA · Connecticare
Other043527497MA · Greatwest
Other470338MA · Tufts Individual No.
OtherY61264MA · Bc Bs Group No

Accepted 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

Lauren Downes 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 ID8426067034
PECOS Enrollment IDI20060410000580

Areas of Expertise CMS Part B claims 3

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.
33 services19 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.
22 services16 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.
16 services12 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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
168 DENSLOW RD
EAST LONGMEADOW, MA 01028
Clinic/Center (Rehabilitation, Substance Use Disorder)
168 DENSLOW RD
EAST LONGMEADOW, MA 01028
Physical Therapist
168 DENSLOW RD
EAST LONGMEADOW, MA 01028
Physical Therapist
168 DENSLOW RD
EAST LONGMEADOW, MA 01028
Physical Therapist
168 DENSLOW RD
EAST LONGMEADOW, MA 01028
Physical Therapist
168 DENSLOW RD
EAST LONGMEADOW, MA 01028
Physical Therapist
168 DENSLOW RD
EAST LONGMEADOW, MA 01028
Physical Therapist
168 DENSLOW RD
EAST LONGMEADOW, MA 01028

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 Lauren Downes's NPI number?

The NPI number for Lauren Downes is 1245328095. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Lauren Downes located?

Lauren Downes practices at 168 Denslow Rd, East Longmeadow, MA 01028. The listed phone number is (413) 526-9924.

What is Lauren Downes's specialty?

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

Is Lauren Downes enrolled in Medicare?

Yes. Lauren Downes 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 Lauren Downes accept?

Health plans from Anthem Blue Cross and Blue Shield list Lauren Downes 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 Lauren Downes was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.