Organization Active NPI

New Vision Rehabilitation Center Lowell

  • Physical Therapy Clinic/Center
  • Lowell, MA
National Provider Identifier
1093097743
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NEW VISION REHABILITATION CENTER LOWELL
Practice address
173 Pine St
Lowell, MA 01851-3112
Phone
(978) 656-1070
Fax
(866) 339-4550
NPI assigned
Sep 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Authorized official

Name
Oleg Denishenko
Title
President
Phone
(978) 656-1070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

173 Pine St
Lowell, MA 01851-3112

Mailing address

PO Box 1855
Brookline, MA 02446-0015
Phone (978) 656-1070

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1093097743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1855",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024460015",
            "telephone_number": "978-656-1070",
            "fax_number": "866-339-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 PINE ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018513112",
            "telephone_number": "978-656-1070",
            "fax_number": "866-339-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION REHABILITATION CENTER LOWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "DENISHENKO",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-656-1070"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.