Organization Active NPI

Orthopedic and Sports Physical Therapy, LLP

  • Physical Therapist
  • Boston, MA
National Provider Identifier
1083839450
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, LLP
Practice address
260 Tremont Street Nemc
Biewind 7
Boston, MA 02112
Phone
(617) 636-5175
Fax
(617) 636-5176
NPI assigned
Apr 13, 2007
Last updated
Aug 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Authorized official

Name
Nicholas MitropoulosNPI 1407847122
Title
Clinic Owner
Phone
(617) 636-5175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

260 Tremont Street Nemc
Biewind 7
Boston, MA 02112

Mailing address

260 Tremont Street, Biewend 7
PO Box 120008
Boston, MA 02112
Phone (617) 636-5175

National Provider Directory

National Provider Directory

Locations

260 Tremont St
Boston, MA 02116
Phone (617) 636-4600

260 Tremont St
#7
Boston, MA 02116
Phone (617) 636-5175

260 Tremont St
Fl 7
Boston, MA 02116
Phone (617) 636-5175

161 College Ave
Medford, MA 02155
Phone (617) 627-0467

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1083839450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 TREMONT STREET, BIEWEND 7",
            "address_2": "PO BOX 120008",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02112",
            "telephone_number": "617-636-5175",
            "fax_number": "617-636-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 TREMONT STREET NEMC",
            "address_2": "BIEWIND 7",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02112",
            "telephone_number": "617-636-5175",
            "fax_number": "617-636-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "MITROPOULOS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CLINIC OWNER",
        "authorized_official_telephone_number": "617-636-5175"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Aug 7, 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.