Organization Active NPI

Barry L. Price Rehabilitation Center, Inc.

  • Developmentally Disabled Services Day Training Agency
  • West Newton, MA
National Provider Identifier
1093856031
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
BARRY L. PRICE REHABILITATION CENTER, INC.
Practice address
38 Border St
West Newton, MA 02465-2006
Phone
(617) 332-7477
Fax
(617) 332-9218
NPI assigned
Feb 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Pagnozzi
Title
Cfo
Phone
(617) 244-0065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

38 Border St
West Newton, MA 02465-2006

Mailing address

38 Border St
West Newton, MA 02465-2006
Phone (617) 332-7477

Other identifiers 2

IdentifierTypeStateIssuer
1311166MedicaidMA
1311662MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Barry L Price Rehabilitation Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093856031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 BORDER ST",
            "city": "WEST NEWTON",
            "state": "MA",
            "postal_code": "024652006",
            "telephone_number": "617-332-7477",
            "fax_number": "617-332-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 BORDER ST",
            "city": "WEST NEWTON",
            "state": "MA",
            "postal_code": "024652006",
            "telephone_number": "617-332-7477",
            "fax_number": "617-332-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY L. PRICE REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAGNOZZI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-244-0065",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1311166",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1311662",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.