NPIMap

Organization Active NPI

The Boston Spine Group LLC

Doing business as First Choice Physical Therapy

  • Physical Therapist
  • Southboro, MA
National Provider Identifier
1144450081
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THE BOSTON SPINE GROUP LLC
Doing business as
First Choice Physical Therapy
Practice address
32 Newton Street
Suite 1
Southboro, MA 01772-1215
Phone
(508) 460-3800
Fax
(508) 787-9872
NPI assigned
Jul 24, 2009
Last updated
Jul 21, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
THE BOSTON SPINE GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Dr. Robert J Banco, M.D.NPI 1265434948
Title
President
Phone
(617) 219-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

32 Newton Street
Suite 1
Southboro, MA 01772-1215

Mailing address

299 Washington St
Newton, MA 02458-1612
Phone (617) 219-6300

Other names 1

  • First Choice Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Part of
TBSG LLC SHC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1144450081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581612",
            "telephone_number": "617-219-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 NEWTON STREET",
            "address_2": "SUITE 1",
            "city": "SOUTHBORO",
            "state": "MA",
            "postal_code": "017721215",
            "telephone_number": "508-460-3800",
            "fax_number": "508-787-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BOSTON SPINE GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE BOSTON SPINE GROUP, LLC",
        "enumeration_date": "2009-07-24",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "BANCO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-219-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Choice Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.