Sustain Physical Therapy and Performance

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SUSTAIN PHYSICAL THERAPY AND PERFORMANCE

Practice address

364 Boylston St Ste 401
Boston, MA 02116-3806

Phone

(617) 936-8631

NPI assigned

Aug 13, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Adam Babcock, PT, DPT

Title

Physical Therapist, Office Manager

Phone

(617) 936-8631

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Andrea G Norkus, ED.D.

  • Psychologist
  • Boston, MA
  • NPI 1437206612
  NPD (past)
• Janice K. Wagner, LICSW

  • Clinical Social Worker
  • Boston, MA
  • NPI 1497779466
  NPD (past)
• Jennifer L. Jenks, MD

  • Child & Adolescent Psychiatry Physician
  • Ann Arbor, MI
  • NPI 1215980057
  NPD (past)

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

{
    "created_epoch": "1502582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1144745902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 BOYLSTON ST STE 401",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163806",
            "telephone_number": "617-936-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 BOYLSTON ST STE 401",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163806",
            "telephone_number": "617-936-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSTAIN PHYSICAL THERAPY AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-13",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "BABCOCK",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OFFICE MANAGER",
        "authorized_official_telephone_number": "617-936-8631",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Sanjna Lakshmi Surya, MD
• Nathan Suskovic
• Chad Benjamin Sussman
• Jessica Sussman, DPT
• Tamara Aghamolla Sussman, M.D.
• David Ilan Suster, M.D.
• Abigail K Sutcliffe, PNP
• Daniel Sutelman
• Aggie J Sutherland
• Anna Vavra Sutherland, MD

• Physical Therapy Clinic/Center in Boston, MA
• Providers in Boston, 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 4, 2024; 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.