NPIMap

Organization Active NPI

Agility Wpho-THP Inc

Doing business as Agility Orthopedics

  • Specialist
  • Stoneham, MA
National Provider Identifier
1174072557
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
AGILITY WPHO-THP INC
Doing business as
Agility Orthopedics
Practice address
92 Montvale Ave
Suite 1400
Stoneham, MA 02180-3647
Phone
(781) 279-7040
Fax
(781) 279-8430
NPI assigned
Sep 27, 2016
Last updated
Feb 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Dr. Abraham Shurland, MDNPI 1144214032
Title
Partner/Authorized Official
Phone
(781) 279-7040

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
Specialist 174400000X MA Primary

Addresses

Primary practice location

92 Montvale Ave
Suite 1400
Stoneham, MA 02180-3647

Mailing address

92 Montvale Ave
Suite 1400
Stoneham, MA 02180-3647
Phone (781) 279-7040

Other identifiers 1

IdentifierTypeStateIssuer
M12363OtherMABLUE CROSS BLUE SHIELD

Other names 1

  • Agility Orthopedics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1174072557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 MONTVALE AVE",
            "address_2": "SUITE 1400",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803647",
            "telephone_number": "781-279-7040",
            "fax_number": "781-279-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MONTVALE AVE",
            "address_2": "SUITE 1400",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803647",
            "telephone_number": "781-279-7040",
            "fax_number": "781-279-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGILITY WPHO-THP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "SHURLAND",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "PARTNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "781-279-7040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M12363",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agility Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Agility Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stoneham, MA

Sources for this page

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