Healthpro Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9341 Issued in MA

Legal business name

HEALTHPRO PHYSICAL THERAPY INC

Practice address

30 Boston St
Ste 10
Lynn, MA 01904-2540

Phone

(781) 598-5900

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Liatsos, PTNPI 1699867671

Title

Owner

Phone

(781) 598-5900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

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

• Nicholas Stauros Liatsos, PT

  • Specialist
  • East Greenwich, RI
  • NPI 1699867671

  MA

  Medicare reassignment NPD Authorized official
• Michael W Gallagher, PT,DPT

  • Physical Therapist
  • Saugus, MA
  • NPI 1225302359
  NPD (past)

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114125820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BOSTON ST",
            "address_2": "STE 10",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019042540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BOSTON ST",
            "address_2": "STE 10",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019042540",
            "telephone_number": "781-598-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHPRO PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIATSOS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-598-5900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "9341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Haupt, MSW, LSW
• Amanda Hayes, DMD
• Rebecca Hayes
• Lewis S Hays, M.D.
• Brian Headley, PA
• Emilia Hearn
• Gayle Patricia Hearns-Rogers, LADC-1, CAS
• Jessika Heffernan
• Kathy Anne Heffernan I
• Kelly Ann Heffernan, B.A.

• Physical Therapist in Lynn, MA
• Providers in Lynn, MA by specialty
• Physical Therapist in Massachusetts

• 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.
• 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.