NPIMap

Organization Active NPI

Comeback Physical Therapy, Inc.

  • Physical Therapist
  • Dorchester, MA
National Provider Identifier
1013295054
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COMEBACK PHYSICAL THERAPY, INC.
Practice address
415 Neponset Ave
Suite 2B
Dorchester, MA 02122-3168
Phone
(617) 287-2225
Fax
(617) 287-2224
NPI assigned
Jul 25, 2011
Last updated
Oct 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Mr. Scott D Vetstein
Title
President/Owner
Phone
(954) 850-1791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

415 Neponset Ave
Suite 2B
Dorchester, MA 02122-3168

Mailing address

415 Neponset Ave
Suite 2B
Dorchester, MA 02122-3168
Phone (617) 287-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161018001401 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1355639717 Receives reassigned benefits from 26 practitioners
Practice locations: Worcester, MA; Taunton, MA; Stoughton, MA; Springfield, MA; Revere, MA; Mattapan, MA; Hyde Park, MA; Lynn, MA…

National Provider Directory

National Provider Directory

Locations

390 Pleasant St
Ste 2
Brockton, MA 02301
Phone (508) 587-2225

100 Everett Ave
Ste 7
Chelsea, MA 02150
Phone (617) 884-2225

248 Everett Ave
#1
Chelsea, MA 02150
Phone (617) 884-2225

415 Neponset Ave
Ste 2B
Dorchester, MA 02122
Phone (617) 287-2225

1234 Hyde Park Ave
Ste 204
Hyde Park, MA 02136
Phone (617) 364-4200

25 Central Sq
Lynn, MA 01901
Phone (339) 440-5182

10 Fairway St
Mattapan, MA 02126
Phone (617) 298-2225

500 N Main St
Ste C
Randolph, MA 02368
Phone (781) 885-7278

4 Maple St
Springfield, MA 01103
Phone (413) 455-3601

966 Park St
Ste A2
Stoughton, MA 02072
Phone (781) 341-1000

101 Pleasant St
Ste 114
Worcester, MA 01609
Phone (508) 798-2225

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1013295054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 NEPONSET AVE",
            "address_2": "SUITE 2B",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223168",
            "telephone_number": "617-287-2225",
            "fax_number": "617-287-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 NEPONSET AVE",
            "address_2": "SUITE 2B",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223168",
            "telephone_number": "617-287-2225",
            "fax_number": "617-287-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMEBACK PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "VETSTEIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "954-850-1791",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.