Advance Physical Therapy & Sport Rehab
NPI 1417163817 · Point of Service · Lynn, MA
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advance Physical Therapy & Sport Rehab is a Point of Service organization in Lynn, MA (NPI 1417163817).
Provider details
- NPI number
- 1417163817
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Joseph O'Connor, Owner(781) 592-0540
- License
- 6761 (MA)
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Physical Therapy
Registry dates
- Enumerated
- 2007-05-15
- Last updated
- 2008-06-16
Frequently asked questions
- What is Advance Physical Therapy & Sport Rehab's NPI number?
- Advance Physical Therapy & Sport Rehab's National Provider Identifier (NPI) is 1417163817, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advance Physical Therapy & Sport Rehab?
- Advance Physical Therapy & Sport Rehab is classified in the NPPES registry as Point of Service (Managed Care Organizations).
- Where is Advance Physical Therapy & Sport Rehab located?
- Advance Physical Therapy & Sport Rehab's practice location on file with NPPES is 1 Market St Ste 3, Lynn, MA 01901-1044.
- What is Advance Physical Therapy & Sport Rehab's phone number?
- The practice phone number listed in the NPPES registry for Advance Physical Therapy & Sport Rehab is (781) 592-0540.
- Does Advance Physical Therapy & Sport Rehab accept Medicare?
- Advance Physical Therapy & Sport Rehab is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Advance Physical Therapy & Sport Rehab?
- The authorized official listed on Advance Physical Therapy & Sport Rehab's NPPES record is Joseph O'Connor, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advance Physical Therapy & Sport Rehab's NPI active?
- Yes — Advance Physical Therapy & Sport Rehab's NPI (1417163817) is active in the NPPES registry as of the last update on 2008-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.