NPIMap

Organization Active NPI

Revere Rehabilitation Center

  • Rehabilitation Chiropractor
  • Revere, MA
National Provider Identifier
1184927691
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
3094 Issued in MA
Legal business name
REVERE REHABILITATION CENTER
Practice address
199 Shirley Ave
Revere, MA 02151-3258
Phone
(781) 286-2222
Fax
(781) 286-2212
NPI assigned
Dec 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Authorized official

Name
Frank Najafi
Title
Manager
Phone
(781) 286-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 3094 MA Primary

Addresses

Primary practice location

199 Shirley Ave
Revere, MA 02151-3258

Mailing address

199 Shirley Ave
Revere, MA 02151-3258
Phone (781) 286-2222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1184927691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 SHIRLEY AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513258",
            "telephone_number": "781-286-2222",
            "fax_number": "781-286-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 SHIRLEY AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513258",
            "telephone_number": "781-286-2222",
            "fax_number": "781-286-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVERE REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "NAJAFI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "781-286-2222"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MA",
            "license": "3094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Revere, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.