Proactfit, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

18223 Issued in MA

Legal business name

PROACTFIT, LLC

Practice address

892 Plain St
Suite 2
Marshfield, MA 02050-2191

Phone

(781) 413-6103

NPI assigned

Dec 10, 2014

Organization subpart

No

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

Authorized official

Name

Miss Micolene K Boddie, PT, ATC, CSCS

Title

Owner / Physical Therapist

Phone

(781) 413-6103

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1164820973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 PLAIN ST",
            "address_2": "SUITE 2",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 PLAIN ST",
            "address_2": "SUITE 2",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502191",
            "telephone_number": "781-413-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTFIT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "BODDIE",
        "authorized_official_first_name": "MICOLENE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "781-413-6103",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PT, ATC, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "18223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Plourde, ATC
• Cindy Ruth Pomerantz
• Joanna Potter
• Annmarie Powers, BCBA 1-21-50499
• Alisa Pozner, LICSW
• Monika Joanna Pronczuk, D.M.D.
• Angeline Victoria Ratcliffe
• Taylor Reid
• Sarah Reittinger, D.M.D.
• Rejuv Medical Aesthetics

• Physical Therapy Clinic/Center in Marshfield, MA
• Providers in Marshfield, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.