Organization Active NPI

Family Chiropractic Center

  • Physical Therapy Clinic/Center
  • Saugus, MA
National Provider Identifier
1194806992
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
17077 Issued in MA
Legal business name
FAMILY CHIROPRACTIC CENTER
Practice address
194 Central St
Saugus, MA 01906-2107
Phone
(781) 233-2016
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stacy Ann Goldberg
Title
Owner
Phone
(781) 233-2016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 17077 MA Primary

Addresses

Primary practice location

194 Central St
Saugus, MA 01906-2107

Mailing address

194 Central St
Saugus, MA 01906-2107
Phone (781) 233-2016

Other identifiers 1

IdentifierTypeStateIssuer
Y61378OtherMAB/C B/S PT GRP

National Provider Directory

National Provider Directory

Locations

21 Water St
Wakefield, MA 01880
Phone (781) 246-1550

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194806992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 CENTRAL ST",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019062107",
            "telephone_number": "781-233-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 CENTRAL ST",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019062107",
            "telephone_number": "781-233-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-233-2016"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "17077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S PT GRP",
            "identifier": "Y61378",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugus, MA

Sources for this page

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