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

Last updated

Oct 22, 2020By the provider in NPPES

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, PTNPI 1831200732

Title

PT, Co Owner

Phone

(508) 358-4900

Specialties & licenses 3

Addresses

Practitioners 1

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.

• Lynne Marie King, P.T.

  • Physical Therapist
  • Wayland, MA
  • NPI 1831200732
  Authorized official Same address or phone

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. (Lit Dental Esthetics & Implant Center)
• Livindi Medical Group Illinois PLLC (Livindi Group Massachusetts)
• Russell L Livingston, MD
• Neena Lukose, RPH
• Gail Elizabeth Lydon, RN MS CS
• Hanna Macmillan, SLP
• Ellen M Mahoney, M.D.
• Donald W Marion, 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.