Organization Active NPI

Mentor Abi

  • Rehabilitation Hospital
  • Braintree, MA
National Provider Identifier
1013236124
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
MENTOR ABI
Practice address
639 Granite St
Suite 215
Braintree, MA 02184-5366
Phone
(781) 356-6330
NPI assigned
May 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Scott Davis, MBA
Title
Sr. Business Director
Phone
(618) 303-1577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

639 Granite St
Suite 215
Braintree, MA 02184-5366

Mailing address

639 Granite St
Suite 215
Braintree, MA 02184-5366
Phone (781) 356-6330

Other names 1

  • NeuroRestorative New Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mentor Abi37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Locations

639 Granite St
Ste 215
Braintree, MA 02184
Phone (781) 356-6330

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1013236124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 GRANITE ST",
            "address_2": "SUITE 215",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845366",
            "telephone_number": "781-356-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 GRANITE ST",
            "address_2": "SUITE 215",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845366",
            "telephone_number": "781-356-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTOR ABI",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "SR. BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "618-303-1577",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroRestorative New",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.