NPIMap

Organization Active NPI

Spine & Sport Rehab Center LLC

  • Physical Therapist
  • Mansfield, MA
National Provider Identifier
1164613451
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16010 Issued in MA
Legal business name
SPINE & SPORT REHAB CENTER LLC
Practice address
660 East St
Suite 3
Mansfield, MA 02048
Phone
(508) 285-1970
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Dr. Jeffrey Leverone, DCNPI 1114097052
Title
Partner
Phone
(508) 285-1970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 16010 MA Primary

Addresses

Primary practice location

660 East St
Suite 3
Mansfield, MA 02048

Mailing address

660 East St
Suite 3
Mansfield, MA 02048-2951
Phone (508) 285-1970

National Provider Directory

National Provider Directory

Locations

660 East St
Ste 3
Mansfield, MA 02048
Phone (508) 285-1970

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1164613451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 EAST ST",
            "address_2": "SUITE 3",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482951",
            "telephone_number": "508-285-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 EAST ST",
            "address_2": "SUITE 3",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "02048",
            "telephone_number": "508-285-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & SPORT REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "LEVERONE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "508-285-1970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "16010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.