Organization Active NPI

Patient First Chiropractic and Physical Therapy

  • Physical Therapist
  • Waltham, MA
National Provider Identifier
1114106903
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PATIENT FIRST CHIROPRACTIC AND PHYSICAL THERAPY
Practice address
564 Main St
Waltham, MA 02452-5516
Phone
(781) 894-8880
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Dr. William Caddoo, DC
Title
Owner
Phone
(781) 894-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

564 Main St
Waltham, MA 02452-5516

Mailing address

564 Main St
Waltham, MA 02452-5516
Phone (781) 894-8880

Other identifiers 1

IdentifierTypeStateIssuer
Y61232OtherMABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Patient First Chiropractic and Physical Therapy2 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.

Locations

564 Main St
Waltham, MA 02452
Phone (781) 693-3800

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1114106903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024525516",
            "telephone_number": "781-894-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024525516",
            "telephone_number": "781-894-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT FIRST CHIROPRACTIC AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "CADDOO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-894-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y61232",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.