Woburn Physical Therapy, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

WOBURN PHYSICAL THERAPY, INC

Practice address

400 W Cummings Park Ste 1400
Woburn, MA 01801-7232

Phone

(781) 938-1223

Fax

(781) 938-1226

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Demetre Xintaropoulos, PTANPI 1629243969

Title

Owner/President

Phone

(781) 727-8897

Specialties & licenses 2

Addresses

Other identifiers 6

Other names 1

• Physical Therapy of Woburn Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 8

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

• Paola Jaar, DPT

  • Physical Therapist
  • Somerville, MA
  • NPI 1932406535
  Medicare reassignment NPD
• Marcelo Knapik

  • Physical Therapist
  • Boston, MA
  • NPI 1497221295
  Medicare reassignment NPD
• David A Spitalere, DPT

  • Physical Therapist
  • Woburn, MA
  • NPI 1891128070
  Medicare reassignment NPD
• Philip Cunha, DPT, PT

  • Physical Therapist
  • Port Orange, FL
  • NPI 1528627940

  MA

  Medicare reassignment NPD
• Demetre Xintaropoulos, P.T.A.

  • Physical Therapy Assistant
  • Woburn, MA
  • NPI 1629243969
  NPD Authorized official
• Eric Getkin, P.T.

  • Physical Therapist
  • Roslindale, MA
  • NPI 1891816005
  NPD (past)
• Margaret Florence King, P.T.

  • Physical Therapist
  • Boston, MA
  • NPI 1710027214
  NPD (past)
• Audrey Ann Xintaropoulos, OTR/L

  • Specialist
  • Malden, MA
  • NPI 1720091275
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1104839638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W CUMMINGS PARK STE 1400",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018017232",
            "telephone_number": "781-938-1223",
            "fax_number": "781-938-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CUMMINGS PARK STE 1400",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018017232",
            "telephone_number": "781-938-1223",
            "fax_number": "781-938-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOBURN PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2021-05-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "XINTAROPOULOS",
        "authorized_official_first_name": "DEMETRE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "781-727-8897",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA70524",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLWAYS",
            "identifier": "0040567",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC",
            "identifier": "000000193213",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "002697430",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "V35856",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y61478",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy of Woburn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Woburn Pediatric Associates
• Woburn Pediatric Psychological Services PLLC
• Woburn Public Schools
• Woburn Smiles PC
• Woburn Vein Clinic LLC
• Raymond Wolf, PTA
• Lindsey Marie Wolfe, PT

• Physical Therapy Clinic/Center in Woburn, MA
• Providers in Woburn, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.