Organization Active NPI

Healthy Soles

  • Physical Therapy Clinic/Center
  • Boston, MA
National Provider Identifier
1235520453
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
16185 Issued in MA
Legal business name
HEALTHY SOLES
Practice address
581 Boylston St
Suite 504a
Boston, MA 02116-3608
Phone
(617) 869-9986
Fax
(617) 395-2697
NPI assigned
Feb 10, 2015
Last updated
Feb 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Mrs. Rebecca Lee Brown, MSPT, OCS, CSCS
Title
Owner, Physical Therapist
Phone
(617) 869-9986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 16185 MA Primary

Addresses

Primary practice location

581 Boylston St
Suite 504a
Boston, MA 02116-3608

Mailing address

100 Jersey St
Apt #103
Boston, MA 02215-4811
Phone (617) 869-9986

Other identifiers 1

IdentifierTypeStateIssuer
1063491587OtherMANPI

National Provider Directory

National Provider Directory

Locations

581 Boylston St
Ste 504A
Boston, MA 02116
Phone (617) 719-7476

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1235520453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 JERSEY ST",
            "address_2": "APT #103",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022154811",
            "telephone_number": "617-869-9986",
            "fax_number": "617-395-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 BOYLSTON ST",
            "address_2": "SUITE 504A",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163608",
            "telephone_number": "617-869-9986",
            "fax_number": "617-395-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SOLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "617-869-9986",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSPT, OCS, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "16185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063491587",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.