Longfellow Holistic Health Center

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LONGFELLOW HOLISTIC HEALTH CENTER

Practice address

524 Boston Post Rd
Wayland, MA 01778

Phone

(508) 358-4900

Fax

(508) 358-3525

NPI assigned

Oct 22, 2020

Organization subpart

No

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

Authorized official

Name

Lynne M King, PT

Title

PT, Co Owner

Phone

(508) 358-4900

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1164021986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 BOSTON POST RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "01778",
            "telephone_number": "508-358-4900",
            "fax_number": "508-358-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 BOSTON POST RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "01778",
            "telephone_number": "508-358-4900",
            "fax_number": "508-358-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGFELLOW HOLISTIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PT, CO OWNER",
        "authorized_official_telephone_number": "508-358-4900",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Goldman Leven, R.P.T.
• Mimi Sohn Licht, LICSW, BCD
• Lit Dental, P.C.
• Livindi Medical Group Illinois PLLC
• Russell L Livingston, MD
• Neena Lukose, RPH
• Gail Elizabeth Lydon, RN MS CS
• Robert Keller Macmath II, MS
• Hanna Macmillan, SLP
• Ellen M Mahoney, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.