Organization Active NPI

Wave Physical Therapy & Wellness, LLC

  • Physical Therapy Clinic/Center
  • Natick, MA
National Provider Identifier
1225815376
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
WAVE PHYSICAL THERAPY & WELLNESS, LLC
Practice address
8 Pleasant St Ste 8D
Natick, MA 01760-5622
Phone
(802) 734-1681
NPI assigned
Sep 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Jaime Martuscello, DPTNPI 1043247919
Title
Owner/Physical Therapist
Phone
(802) 734-1681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

8 Pleasant St Ste 8D
Natick, MA 01760-5622

Mailing address

47 Felch Rd
Natick, MA 01760-1259

National Provider Directory

National Provider Directory

Locations

8 Pleasant St
Ste 8D
Natick, MA 01760
Phone (802) 734-1681

Practitioners & affiliated clinicians

Practitioners 1

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": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1225815376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 FELCH RD",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PLEASANT ST STE 8D",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017605622",
            "telephone_number": "802-734-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVE PHYSICAL THERAPY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "MARTUSCELLO",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "802-734-1681",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.