Harbor View Physical Therapy & Sports Medicine, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

10322 Issued in MA

Legal business name

HARBOR VIEW PHYSICAL THERAPY & SPORTS MEDICINE, INC.

Practice address

12 Bennington St
East Boston, MA 02128-1771

Phone

(617) 569-4200

Fax

(617) 569-4202

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Alfred PetrielloNPI 1992894513

Title

Physical Therapist

Phone

(617) 569-4200

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 1

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

• Alfred Petriello, RPT

  • Physical Therapist
  • East Boston, MA
  • NPI 1992894513
  NPD (past) Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114133451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BENNINGTON ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281771",
            "telephone_number": "617-569-4200",
            "fax_number": "617-569-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BENNINGTON ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281771",
            "telephone_number": "617-569-4200",
            "fax_number": "617-569-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR VIEW PHYSICAL THERAPY & SPORTS MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETRIELLO",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "617-569-4200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "10322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "307527",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9785256",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON MEDICAL CENTER H",
            "identifier": "000000007077",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "Y61161",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0017618",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Hammon, DNP
• Boram Han, MD
• Marsha A Hanssen, LICSW
• Kim Marie Hanton
• Harbor Pacific Inc.
• Sarah D Harding, CNP; FNP-C
• Jamie M. Hare, PA-C, MPH
• Harmony Dental Arts, PLLC
• Galen G. Harnden, MD
• Jonathan Andrew Hatoun, MD, MPH

• Specialist in East Boston, MA
• Providers in East Boston, MA by specialty
• Specialist 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.