Michaela Lussoro
NPI 1114898673ActiveIndividual· Physical Therapist· Ipswich, MA
Physical Therapist with Bay State Physical Therapy of Randolph Inc, practicing in Ipswich, Massachusetts. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1114898673 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 16, 2025 |
| Last updated in NPPES | Sep 16, 2025 |
| Certified by provider | Sep 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PTL88528 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MA) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Bay State Physical Therapy of Randolph IncHalifax, MA · 454 clinicians
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