Sports Therapy & Rehabilitation Center, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

135 Issued in MA

Legal business name

SPORTS THERAPY & REHABILITATION CENTER, INC.

Practice address

84 Highland Ave
Suite 201
Salem, MA 01970-2727

Phone

(978) 741-0880

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Chris Jensen, PT

Title

Business Owner

Phone

(978) 741-0880

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1134259252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702727",
            "telephone_number": "978-741-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 HIGHLAND AVE",
            "address_2": "SUITE 201",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702727",
            "telephone_number": "978-741-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS THERAPY & REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "978-741-0880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0368989",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "Y61051",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA68907",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Spagnolo, LIC. AC
• Joseph Spano, MA
• Jacqueline Marie Speed, M.D.
• Gregory Spirer
• Jessica Spong
• Cheryl Springer, PHD
• Bruce Edward St George, LCSW
• Melissa Ashley St Pierre, MS
• Kevin Michael St. Onge, M.S., M. ED.
• Serena Stack

• Physical Therapy Clinic/Center in Salem, MA
• Providers in Salem, 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 Nov 5, 2008; 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.