Active NPI
New Vision Rehabilitation Center Lowell
- Physical Therapy Clinic/Center
- Lowell, MA
National Provider Identifier
1093097743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.