Ethos Rehabilitation Inc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Boylston, Massachusetts. Their current practice location is
81 Shrewsbury St Ste 1, Boylston, Massachusetts. You can reach out to their office (for appointments etc.) via phone at
(774) 614-1322.
Ethos Rehabilitation Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Ethos Rehabilitation Inc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1548900418.
Healthcare Provider's Profile
| Full Name | Ethos Rehabilitation Inc |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 81 Shrewsbury St Ste 1, Boylston, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1548900418
- Provider Enumeration Date: 03/30/2022
- Last Update Date: 08/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 3072990068
- Enrollment ID: O20220512001530
Medical Identifiers
Medical identifiers for Ethos Rehabilitation Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548900418 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225200000X | Physical Therapy Assistant | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Ethos Rehabilitation Inc acts as a billing entity for following providers:
| Provider Name | Jimmy Kakouris |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1306057146
PECOS PAC ID: 7315104726
Enrollment ID: I20120213000351 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethos Rehabilitation Inc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Ethos Rehabilitation Inc
Po Box 1110,
Boylston, MA 01505-1810
Ph: (774) 614-1322 | Ethos Rehabilitation Inc
81 Shrewsbury St Ste 1,
Boylston, MA 01505-1701
Ph: (774) 614-1322 |
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