Ultracare, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9396 Issued in MA

Legal business name

ULTRACARE, P.C.

Practice address

157 Main St
Brockton, MA 02301-4012

Phone

(508) 510-4221

Fax

(508) 510-5126

NPI assigned

Nov 26, 2014

Organization subpart

No

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

Authorized official

Name

Miss Katherine Anne Viveiros

Title

Billing Manager

Phone

(508) 675-2840

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Ultracare PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Ultracare, P.C.

  • Chiropractor
  • Brockton, MA
  • NPI 1972900553
  NPD tax ID
• Ultracare, P.C.

  • Physician Assistant
  • Brockton, MA
  • NPI 1992125215
  NPD tax ID

Locations

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1154728731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4137",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023034137",
            "telephone_number": "508-510-4221",
            "fax_number": "508-510-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014012",
            "telephone_number": "508-510-4221",
            "fax_number": "508-510-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRACARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "VIVEIROS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "508-675-2840",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "9396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSCIAL THERAPY INDIVIDUAL NPI LAUREN SIMON, PT",
            "identifier": "1922272947",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Brockton, MA
• Providers in Brockton, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.