NPI 1104639731

Key facts

NPI

1104639731

Entity type

Organization (NPI type 2)

Primary specialty

Physical Therapy Clinic/Center 261QP2000X

Practice address

40 Crescent St Ste 104
Waltham, MA 02453-4313

Phone

(781) 916-8825

Fax

(781) 701-3570

NPI assigned

Jan 28, 2025

Organization subpart

No

Authorized official

Name

Yolanda Enid Rodriguez, PTA

Title

President

Phone

(781) 916-8825

Subparts reporting this organization as parent 5

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Beacon Care, Inc. Home Health Agency · Boston, MA · NPI 1740008606
  NPPES parent name
• Bloom Pelvic Health and Wellness LLC Physical Therapist · Chelmsford, MA · NPI 1427747302
  NPPES parent name
• Brighten Community Support Center Pediatric Neurodevelopmental Disabilities Physician · North Andover, MA · NPI 1326935008
  NPPES parent name
• D'Youville Leadership Solutions Assisted Living Facility · Lowell, MA · NPI 1023516465
  NPPES parent name
• Khaled Shaikhi LLC Dental Clinic/Center · Saugus, MA · NPI 1033996350
  NPPES parent name

Practitioners 1

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

• Svetlana Mirvoda, RPT Physical Therapist · Allston, MA · NPI 1720102452
  NPD

National Provider Directory

Locations

Specialties & licenses

Addresses

Other providers in Waltham, MA

• 1 On 1 Eyecare
• 360 Neuromuscular Therapy, LLC
• 411 Waverly Oaks Rd, Suite#214, Waltham, Ma 02452
• 42 North Dental Care LLC
• 42 North Dental Care of Indiana, LLC

All providers in Waltham, MA · Physical Therapy Clinic/Center in Massachusetts