OUTPATIENT REHABILITATION CLINIC AT BROOKSBY
NPI 1396818688
Clinic/Center - Rehabilitation in Peabody, MA

Active since November 16, 2006CLIA Certified · 2 labs
302 BROOKSBY VILLAGE DRIVE, ATTN: REHABILITATION MANAGER, PEABODY, MA 01960(978) 536-2150(410) 204-7237 Get Directions Write a Review

NPPES record last updated: January 15, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Outpatient Rehabilitation Clinic At Brooksby NPPES

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

OUTPATIENT REHABILITATION CLINIC AT BROOKSBY (NPI 1396818688) is a healthcare organization registered as a rehabilitation in Peabody, Massachusetts and active in the NPI registry since November 2006. The organization holds 2 active CLIA laboratory certificates and lists Christpher J Rathmann, Assistant Treasurer, as its authorized official.

NPPES Registry Identity

NPI1396818688
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameBROOKSBY VILLAGE INC
Location Address302 BROOKSBY VILLAGE DRIVE, ATTN: REHABILITATION MANAGERPeabody, MA 01960-8563
Mailing Address100 Brooksby Village Dr, Attn: Executive DirectorPeabody, MA 01960-1438 · (978) 536-2150 · Fax (410) 204-7237
Fax(410) 204-7237
Organization SubpartNo
Authorized OfficialChristpher J RathmannAssistant Treasurer · (410) 402-2390
Enumeration DateNovember 16, 2006
Last NPPES UpdateJanuary 15, 2015
✔ NPI 1396818688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
License✔ Licensed in MA · 48CI
302 BROOKSBY VILLAGE DRIVE, Peabody, MA 01960

Other Names 1

Doing Business AsOutpatient Rehabilitation Clinic At Brooksby

Other Identifiers 1

Medicare OSCAR/certification226539MA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Outpatient Rehabilitation Clinic At Brooksby is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMassachusettsEnrollment IDO20050502000399Part A · Outpatient Physical Therapy/Occupational Therapy/Speech Pathology ServicesDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D1017840

Brooksby Village · Peabody, MA
Active · expires Oct 6, 2027
CLIA Number22D1017840
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorTricia E. Shaw
Laboratory Phone(978) 536-7955
Laboratory LocationBrooksby Village400 Brooksby Village Dr, Peabody, MA 01960
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 22D1040991

Brooksby Village Visiting Nurse Services Inc · Peabody, MA
Active · expires May 22, 2027
CLIA Number22D1040991
Laboratory TypeHome Health Agency
Certificate Effective DateMay 23, 2025
Certificate Expiration DateMay 22, 2027
Laboratory DirectorDelia J. Martin
Laboratory Phone(978) 536-7868
Laboratory LocationBrooksby Village Visiting Nurse Services Inc300 Brooksby Village Dr, Peabody, MA 01960
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Brooksby Village Inc's NPI number?

The NPI number for Brooksby Village Inc is 1396818688. It was assigned to this organization in the NPPES registry on November 16, 2006. The provider is doing business as Outpatient Rehabilitation Clinic At Brooksby.

Where is Brooksby Village Inc located?

Brooksby Village Inc is located at 302 Brooksby Village Drive Attn: Rehabilitation Manager, Peabody, MA 01960. The listed phone number is (978) 536-2150.

What is Brooksby Village Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Is Brooksby Village Inc enrolled in Medicare?

Yes. Brooksby Village Inc is registered in the Medicare PECOS enrollment system.

When is Brooksby Village Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Massachusetts, Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Brooksby Village Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Brooksby Village Inc accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Brooksby Village 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 Brooksby Village Inc was last updated on January 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.