PHYSICAL THERAPY
NPI 1417163817
Point of Service in Lynn, MA

Active since May 15, 2007
1 MARKET ST STE 3, 39 CROSS STREET SUITE#205,PEABODY,MA 01960, LYNN, MA 01901(781) 592-0540 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Physical Therapy NPPES

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

PHYSICAL THERAPY (NPI 1417163817) is a healthcare organization registered as a point of service in Lynn, Massachusetts and active in the NPI registry since May 2007. The organization lists Joseph S O'connor, Owner, as its authorized official.

NPPES Registry Identity

NPI1417163817
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameADVANCE PHYSICAL THERAPY & SPORT REHAB
Location Address1 MARKET ST STE 3, 39 CROSS STREET SUITE#205,PEABODY,MA 01960Lynn, MA 01901-1044
Mailing Address1 Market St 3rd FloorLynn, MA 01901 · (781) 593-5797
Organization SubpartNo
Authorized OfficialJoseph S O'connorOwner · (781) 592-0540
Enumeration DateMay 15, 2007
Last NPPES UpdateJune 16, 2008
✔ NPI 1417163817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in MA · 6761
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
1 MARKET ST STE 3, Lynn, MA 01901

Other Names 1

Other NamePhysical Therapy

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)

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

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Physical Therapy, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Physical Therapist in Private Practice
NPI 1528060118
39 CROSS ST SUITE 205
Peabody, MA 01960
(978) 538-7370
✔ Accepts Medicare5.6 mi
Physical Therapist in Private Practice
NPI 1568829810
281 MAIN ST
Reading, MA 01867
(781) 205-2130
✔ Accepts Medicare8.5 mi
Physical Therapist in Private Practice
NPI 1659939288
15 PEARSON AVE APT 2
Somerville, MA 02144
(617) 501-1969
✔ Accepts Medicare9.5 mi
Physical Therapist in Private Practice
NPI 1265559819
1 HOSPITAL DR
Lowell, MA 01852
(978) 458-1411
✔ Accepts Medicare22 mi
Physical Therapist in Private Practice
NPI 1134631104
14520 W GRANITE VALLEY DR STE 110
Sun City West, AZ 85375
(866) 974-2673
✔ Accepts Medicare2,314 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 Advance Physical Therapy & Sport Rehab's NPI number?

The NPI number for Advance Physical Therapy & Sport Rehab is 1417163817. It was assigned to this organization in the NPPES registry on May 15, 2007. The provider is also known as Physical Therapy.

Where is Advance Physical Therapy & Sport Rehab located?

Advance Physical Therapy & Sport Rehab is located at 1 Market St Ste 3 39 Cross Street Suite#205,peabody,ma 01960, Lynn, MA 01901. The listed phone number is (781) 592-0540.

What is Advance Physical Therapy & Sport Rehab's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Is Advance Physical Therapy & Sport Rehab enrolled in Medicare?

Yes. Advance Physical Therapy & Sport Rehab is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advance Physical Therapy & Sport Rehab?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Advance Physical Therapy & Sport Rehab. 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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advance Physical Therapy & Sport Rehab accept?

Health plans from Anthem Blue Cross and Blue Shield list Advance Physical Therapy & Sport Rehab 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 Advance Physical Therapy & Sport Rehab was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.