NPIMap

Organization Active NPI

Cliftondale Physical Therapy

  • Physical Therapy Clinic/Center
  • Saugus, MA
National Provider Identifier
1154568210
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CLIFTONDALE PHYSICAL THERAPY
Practice address
558 Lincoln Ave # 3
Saugus, MA 01906-3850
Phone
(781) 231-0007
NPI assigned
Jan 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Brian Joseph Pace, DCNPI 1134294580
Title
President
Phone
(781) 231-0007

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

558 Lincoln Ave # 3
Saugus, MA 01906-3850

Mailing address

558 Lincoln Ave #3
Saugus, MA 01906
Phone (781) 231-0007

National Provider Directory

National Provider Directory

Locations

558 Lincoln Ave
Ste 3
Saugus, MA 01906
Phone (781) 231-0098

558 Lincoln Ave
#3
Saugus, MA 01906
Phone (781) 231-0007

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1154568210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 LINCOLN AVE #3",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "01906",
            "telephone_number": "781-231-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 LINCOLN AVE # 3",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063850",
            "telephone_number": "781-231-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTONDALE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-231-0007",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugus, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.