Active NPI
Divya Natesan PT LLC
- Physical Therapy Clinic/Center
- Arlington, MA
National Provider Identifier
1124606488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- DIVYA NATESAN PT LLC
- Practice address
- 390 Massachusetts Ave Ste 1
Arlington, MA 02474-6799 - Phone
- (617) 595-8193
- NPI assigned
- Mar 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Divya Natesan, PT, DPT
- Title
- Physical Therapist
- Phone
- (617) 595-8193
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
390 Massachusetts Ave Ste 1
Arlington, MA 02474-6799
Mailing address
390 Massachusetts Ave Ste 1
Arlington, MA 02474-6799
Phone (617) 595-8193
Other names 1
- Synergy Physiotherapy & Wellness
National Provider Directory
National Provider DirectoryLocations
390 Massachusetts Ave
Ste 1
Arlington, MA 02474
Phone (617) 595-8193
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Cambridge, MA
- NPI 1508169434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617062400000",
"number": "1124606488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 MASSACHUSETTS AVE STE 1",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024746799",
"telephone_number": "617-595-8193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 MASSACHUSETTS AVE STE 1",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024746799",
"telephone_number": "617-595-8193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVYA NATESAN PT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-30",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A",
"authorized_official_last_name": "NATESAN",
"authorized_official_first_name": "DIVYA",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "617-595-8193",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Synergy Physiotherapy & Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.