LONGFELLOW SPORTS CLUB
NPI 1972677326
Dietitian, Registered in Natick, MA

Active since November 19, 2006
203 OAK ST, LONGFELLOW SPORTS CLUB, NATICK, MA 01760(508) 653-4633(508) 650-4986 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Longfellow Sports Club NPPES

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

LONGFELLOW SPORTS CLUB (NPI 1972677326) is a healthcare organization registered as a dietitian, registered in Natick, Massachusetts and active in the NPI registry since November 2006. The organization lists Jane Polley, Dietitian, as its authorized official.

NPPES Registry Identity

NPI1972677326
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameNATICK SPORTS AND RACQUET CLUB
Location Address203 OAK ST, LONGFELLOW SPORTS CLUBNatick, MA 01760-1306
Mailing Address203 Oak St, Longfellow Sports ClubNatick, MA 01760-1306 · (508) 653-4633 · Fax (508) 650-4986
Fax(508) 650-4986
Organization SubpartNo
Authorized OfficialJane PolleyDietitian · (508) 653-4633
Enumeration DateNovember 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1972677326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in MA · LDN1011
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
203 OAK ST, Natick, MA 01760

Other Names 1

Doing Business AsLongfellow Sports Club

Other Identifiers 5

Other763282MA · Tufts
OtherLD0022MA · Blue Cross Blue Shield
Other5582051MA · Aetna
Other39410MA · Harvard Pilgrim Health
Other6300209MA · United Health Care

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 MULTIPLE SINGLE SPECIALTY GROUP

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)

Longfellow Sports Club is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Longfellow Sports Club, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Registered Dietitian or Nutrition Professional
NPI 1124192505
203 OAK ST LONGFELLOW SPORTS CLUB
Natick, MA 01760
(508) 653-4633
✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1093901563
524 BOSTON POST RD
Wayland, MA 01778
(508) 358-6022
✔ Accepts Medicare4.4 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 Natick Sports And Racquet Club's NPI number?

The NPI number for Natick Sports And Racquet Club is 1972677326. It was assigned to this organization in the NPPES registry on November 19, 2006. The provider is doing business as Longfellow Sports Club.

Where is Natick Sports And Racquet Club located?

Natick Sports And Racquet Club is located at 203 Oak St Longfellow Sports Club, Natick, MA 01760. The listed phone number is (508) 653-4633.

What is Natick Sports And Racquet Club's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Natick Sports And Racquet Club enrolled in Medicare?

Yes. Natick Sports And Racquet Club is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Natick Sports And Racquet Club?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Registered Dietitian or Nutrition Professional, reassign their Medicare billing to Natick Sports And Racquet Club. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Natick Sports And Racquet Club accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Natick Sports And Racquet Club 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 Natick Sports And Racquet Club was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.