ADVANCED SPORTS THERAPY, LLC
NPI 1245772839
Physical Therapist in Wellesley, MA

Active since November 14, 2016
62 WALNUT ST, WELLESLEY, MA 02481(781) 235-5275(781) 235-5276 Get Directions Write a Review

NPPES record last updated: December 5, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Sports Therapy, Llc NPPES

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

ADVANCED SPORTS THERAPY, LLC (NPI 1245772839) is a healthcare organization registered as a physical therapist in Wellesley, Massachusetts and active in the NPI registry since November 2016. The organization lists Matthew Penney, President, as its authorized official.

NPPES Registry Identity

NPI1245772839
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameADVANCED SPORTS THERAPY, LLC
Location Address62 WALNUT STWellesley, MA 02481-2113
Mailing Address62 Walnut StWellesley, MA 02481-2113 · (781) 235-5275 · Fax (781) 235-5276
Fax(781) 235-5276
Organization SubpartNo
Authorized OfficialMatthew PenneyPresident · (781) 235-5275
Enumeration DateNovember 14, 2016
Last NPPES UpdateDecember 5, 2016
✔ NPI 1245772839 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
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.
62 WALNUT ST, Wellesley, MA 02481

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Sports Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Advanced Sports Therapy, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Physical Therapist in Private Practice
NPI 1033638507
62 WALNUT ST
Wellesley, MA 02481
(781) 235-5275
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1780140061
62 WALNUT ST
Wellesley, MA 02481
(781) 235-5275
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1184398000
2 LAUREL AVE
Wellesley, MA 02481
(781) 237-5585
✔ Accepts Medicare1.7 mi
Physical Therapist in Private Practice
NPI 1447845151
22 MILL ST STE 406
Arlington, MA 02476
(781) 646-8440
8.0 mi
Physical Therapist in Private Practice
NPI 1629247937
260 TREMONT ST
Boston, MA 02116
(617) 636-5175
✔ Accepts Medicare9.8 mi
Physical Therapist in Private Practice
NPI 1043291198
260 TREMONT ST
Boston, MA 02116
(617) 636-5175
✔ Accepts Medicare9.8 mi
Physical Therapist in Private Practice
NPI 1598572422
501 JOHN MAHAR HWY STE 200
Braintree, MA 02184
(781) 384-0500
✔ Accepts Medicare16 mi
Physical Therapist in Private Practice
NPI 1477423788
15 MANNING RD
Middleton, MA 01949
(978) 624-7966
23 mi
Physical Therapist in Private Practice
NPI 1316144876
4605 SAWMILL RD
Upper Arlington, OH 43220
(614) 827-8700
✔ Accepts Medicare636 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 Advanced Sports Therapy, LLC's NPI number?

The NPI number for Advanced Sports Therapy, LLC is 1245772839. It was assigned to this organization in the NPPES registry on November 14, 2016.

Where is Advanced Sports Therapy, LLC located?

Advanced Sports Therapy, LLC is located at 62 Walnut St, Wellesley, MA 02481. The listed phone number is (781) 235-5275.

What is Advanced Sports Therapy, LLC's specialty?

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

Is Advanced Sports Therapy, LLC enrolled in Medicare?

Yes. Advanced Sports Therapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Sports Therapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Advanced Sports Therapy, LLC. 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, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Sports Therapy, LLC was last updated on December 5, 2016. 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.