NANTASKET PHYSICAL THERAPY LLC
NPI 1790078665
Physical Therapist in Hull, MA

Active since May 25, 2011
121 NANTASKET AVE, SUITE 105, HULL, MA 02045(781) 925-0747 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nantasket Physical Therapy Llc NPPES

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

NANTASKET PHYSICAL THERAPY LLC (NPI 1790078665) is a healthcare organization registered as a physical therapist in Hull, Massachusetts and active in the NPI registry since May 2011. The organization lists Candice O'connell, Member/manager, as its authorized official.

NPPES Registry Identity

NPI1790078665
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameNANTASKET PHYSICAL THERAPY LLC
Location Address121 NANTASKET AVE, SUITE 105Hull, MA 02045-3106
Mailing Address121 Nantasket Ave, Suite105Hull, MA 02045 · (781) 925-0747
Organization SubpartNo
Authorized OfficialCandice O'connellMember/manager · (617) 529-4895
Enumeration DateMay 25, 2011
Last NPPES UpdateSeptember 6, 2022
NPPES CertifiedSeptember 6, 2022
✔ NPI 1790078665 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.
121 NANTASKET AVE, Hull, MA 02045

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by October 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 IDO20110926000296Non-DME Part B · Physical/Occupational Therapy Group in Private PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nantasket Physical Therapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1932113941
121 NANTASKET AVE SUITE 105
Hull, MA 02045
(781) 706-7574
✔ Accepts MedicareSame address

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 Nantasket Physical Therapy LLC's NPI number?

The NPI number for Nantasket Physical Therapy LLC is 1790078665. It was assigned to this organization in the NPPES registry on May 25, 2011.

Where is Nantasket Physical Therapy LLC located?

Nantasket Physical Therapy LLC is located at 121 Nantasket Ave Suite 105, Hull, MA 02045. The listed phone number is (781) 925-0747.

What is Nantasket Physical Therapy LLC's specialty?

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

Is Nantasket Physical Therapy LLC enrolled in Medicare?

Yes. Nantasket Physical Therapy LLC is registered in the Medicare PECOS enrollment system.

When is Nantasket Physical Therapy LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Massachusetts, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by October 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.

How many clinicians bill Medicare through Nantasket Physical Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Nantasket Physical 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nantasket Physical Therapy LLC was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.