North Shore Rehabilitation Associates Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

58 Issued in MA

Legal business name

NORTH SHORE REHABILITATION ASSOCIATES INC.

Practice address

121 Broad St
Lynn, MA 01901-1629

Phone

(781) 593-9090

Fax

(781) 593-9093

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Alex Pyatigorskiy

Title

President

Phone

(781) 593-9093

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vincent De Martino, PT

  • Physical Therapist
  • Brookline, MA
  • NPI 1649313693
  Medicare reassignment NPD

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1053476531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BROAD ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011629",
            "telephone_number": "781-593-9090",
            "fax_number": "781-593-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BROAD ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011629",
            "telephone_number": "781-593-9090",
            "fax_number": "781-593-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE REHABILITATION ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "PYATIGORSKIY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-593-9093",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "58",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "AA76157",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "644740",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH CARE ALLIAN.",
            "identifier": "PT0272",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9751441",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y61455",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0038052",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Common Chiropractic
• North Region Homecare LLC
• North Shore Adult Day Health Care Center LLC
• North Shore General and Vascular Associates P.C.
• North Shore Home Care Resources LLC
• North Shore Rehabilitation Associates Inc.
• North Shore Women'S Center
• Northeast Cardiology, Inc.
• Northeast Hospital Corporation
• Northeast Physician Practice

• Physical Therapy Clinic/Center in Lynn, MA
• Providers in Lynn, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.