MICHAELA MAIN DPT
NPI 1578011045
Physical Therapist in Newton, MA
NPI Status: Active since September 14, 2016
Contact Information
425 CENTRE ST
NEWTON, MA
ZIP 02458
Phone: (617) 444-1990
Fax: (617) 444-1811
- Individual
- Female
- Years of Experience 10
- Physical Therapist
- Accepts Insurance
- May Accept Medicare Approved Payment
- Medicare Quality Reporting
About MICHAELA MAIN
This page provides the complete NPI Profile along with additional information for Michaela Main, a provider established in Newton, Massachusetts with a medical specialization in Physical Therapist and more than 10 years of experience. The healthcare provider is registered in the NPI registry with number 1578011045 assigned on September 2016. The practitioner's primary taxonomy code is 225100000X with license number 22489 (MA). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1578011045
- Provider Name
- MICHAELA MAIN DPT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 425 CENTRE ST NEWTON, MA 02458
- Location Phone
- (617) 444-1990
- Location Fax
- (617) 444-1811
- Mailing Address
- 250 E MAIN ST NORTON, MA 02766
- Mailing Phone
- (857) 444-0999
- Mailing Fax
- (617) 444-1811
- Medical School Name
- OTHER
- Graduation Year
- 2016
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-14-2016
- Last Update Date
- 09-14-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 22489
- License State
- MA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Michaela Main is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 6507144862
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20161021000164
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | 28 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
Reviews for MICHAELA MAIN DPT
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 7 | 8 | 0 | 1 | 1 | 0 | 4 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 14 | 8 | 0 | 1 | 2 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 4 + 8 + 0 + 1 + 2 + 0 + 8 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1578011045 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1801947262 | MARLENA PELLICCIO PT Individual | Physical Therapist | 425 CENTRE ST NEWTON, MA 02458 (617) 244-1990 |
| 1437344579 | DR. JODY A NAIBERG DPT Individual | Physical Therapist | 425 CENTRE ST NEWTON, MA 02458 (617) 244-1990 |
| 1487800413 | ERIKA JOHNSON DPT Individual | Physical Therapist | 425 CENTRE ST NEWTON, MA 02458 (617) 244-1990 |
| 1992937486 | JESSICA ROSSMAN DPT Individual | Physical Therapist | 425 CENTRE ST NEWTON, MA 02458 (617) 244-1990 |
| 1336475623 | JENNIFER PARMENTER LMT Individual | Massage Therapist | 425 CENTRE ST NEWTON, MA 02458 (617) 244-1990 |
| 1437485224 | INESSA VAGODNY LMT Individual | Massage Therapist | 425 CENTRE ST NEWTON, MA 02458 (617) 244-1990 |
| 1891015129 | LEAH TENNEN MPH, CHES, LICSW Individual | Social Worker | 425 CENTRE ST NEWTON, MA 02458 (617) 244-1990 |
| 1770897381 | AMY MARIE BOUTRY Individual | Physical Therapist | 425 CENTRE ST NEWTON, MA 02458 (508) 285-5533 |
| 1689983140 | MISS LAURA KATHLEEN ROBBINS DPT Individual | Physical Therapist | 425 CENTRE ST NEWTON, MA 02458 (617) 244-1990 |
| 1558611020 | RACHEL WATKINS Individual | Physical Therapist | 425 CENTRE ST NEWTON, MA 02458 (617) 244-1990 |
| 1376893867 | SEBASTIEN POIRIER Individual | Physical Therapist (Orthopedic) | 425 CENTRE ST NEWTON, MA 02458 (617) 244-1990 |
| 1811320716 | SOPHIA F GUTIERREZ DPT Individual | Physical Therapist | 425 CENTRE ST NEWTON, MA 02458 (617) 244-1990 |
| 1225461114 | ANDREA C WOOD DPT Individual | Physical Therapist | 425 CENTRE ST NEWTON, MA 02458 (617) 244-1990 |
| 1255732186 | ALISON COLUSSI Individual | Physical Therapist | 425 CENTRE ST NEWTON, MA 02458 (617) 244-1990 |
| 1407305832 | DONNA CHIAO DPT Individual | Physical Therapist | 425 CENTRE ST NEWTON, MA 02458 (617) 244-1990 |
| 1285033381 | KATHLEEN O'DAY Individual | Specialist/Technologist (Athletic Trainer) | 425 CENTRE ST NEWTON, MA 02458 (781) 762-1304 |
| 1932509445 | COLIN FIELDS Individual | Physical Therapist | 425 CENTRE ST NEWTON, MA 02458 (617) 244-1990 |
| 1710233382 | LAUREN ANNE DICKERMAN DPT Individual | Physical Therapist | 425 CENTRE ST NEWTON, MA 02458 (617) 244-1990 |
| 1174042295 | HAYES RAINIER Individual | Physical Therapist | 425 CENTRE ST NEWTON, MA 02458 (617) 244-1990 |
| 1760851034 | ASHLEY MORIARTY DPT Individual | Physical Therapist | 425 CENTRE ST NEWTON, MA 02458 (617) 244-1990 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578011045, enumerated in the NPI registry as an "individual" on September 14, 2016
The provider is located at 425 Centre St Newton, Ma 02458 and the phone number is (617) 444-1990
The provider's speciality is Physical Therapist with taxonomy code 225100000X
The provider has more than 10 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 14, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.