Eclectic Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

AH 9431-PT Issued in MA

Legal business name

ECLECTIC PHYSICAL THERAPY

Practice address

320 Washington St
Norwell, MA 02061-1700

Phone

(508) 246-4233

NPI assigned

Jul 28, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Ian L. Rubinstein, M.P.T., M.R.NPI 1245339308

Title

Owner

Phone

(508) 246-4233

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

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

• Ian L. Rubinstein, M.P.T., M.R.

  • Physical Therapist
  • Norwell, MA
  • NPI 1245339308
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1083845812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 KING ARTHURS WAY",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025322376",
            "telephone_number": "508-246-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611700",
            "telephone_number": "508-246-4233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Corporate Park Dr",
            "address_purpose": "LOCATION",
            "city": "Pembroke",
            "state": "MA",
            "postal_code": "023591910",
            "country_code": "US",
            "telephone_number": "508-246-4233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ECLECTIC PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "RUBINSTEIN",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-246-4233",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.T., M.R."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "AH 9431-PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0019557",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hanna Jordan Dunsky
• Shelise Dutcher
• Melissa Dyer
• Melissa Dawn Dzen, LMHC
• G. Logan Eaton, O.D.
• Edge Medical Services
• Denise Egan, APRN-BC
• Erin Elizabeth Egan, NP
• Kristin Panora Egan, DPT
• Martin Egan

• Physical Therapist in Norwell, MA
• Providers in Norwell, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.