Active NPI
Nathan Magnuson, DPT
- Physical Therapist
- Boston, MA
National Provider Identifier
1053659060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20306
- Practice address
- 30 Lancaster St
Unit 1
Boston, MA 02114-1704 - Phone
- (617) 367-4700
- Fax
- (617) 367-4701
- NPI assigned
- Jan 25, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 20306 | MA | Primary |
Addresses
Primary practice location
30 Lancaster St
Unit 1
Boston, MA 02114-1704
Mailing address
110 Haverhill Rd
Ste 524
Amesbury, MA 01913-2123
Phone (978) 388-7272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1053659060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 HAVERHILL RD",
"address_2": "STE 524",
"city": "AMESBURY",
"state": "MA",
"postal_code": "019132123",
"telephone_number": "978-388-7272",
"fax_number": "978-388-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 LANCASTER ST",
"address_2": "UNIT 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021141704",
"telephone_number": "617-367-4700",
"fax_number": "617-367-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNUSON",
"first_name": "NATHAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-25",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "20306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.