Organization Active NPI

Boston Sports Medicine Inc

  • Physical Therapist
  • Allston, MA
National Provider Identifier
1245217546
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BOSTON SPORTS MEDICINE INC
Practice address
1 Braintree St St
Allston, MA 02134-1956
Phone
(617) 787-8700
Fax
(617) 787-8106
NPI assigned
Dec 28, 2005
Last updated
Apr 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Authorized official

Name
Julia Velsmid
Title
Director of Operations
Phone
(617) 623-6303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1 Braintree St St
Allston, MA 02134-1956

Mailing address

PO Box 322
Allston, MA 02134-0003
Phone (617) 623-6303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050303000748 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9032163985 Receives reassigned benefits from 36 practitioners
Practice locations: Wilmington, MA; Watertown, MA; Boston, MA; Swampscott, MA; Somerville, MA; Brookline, MA; Allston, MA

National Provider Directory

National Provider Directory

Locations

20 Franklin St
Allston, MA 02134
Phone (617) 787-8700

556 Cambridge St
Ste 5
Allston, MA 02134
Phone (617) 787-8700

1 Braintree St
Boston, MA 02134
Phone (617) 787-8700

1 Braintree St St
Boston, MA 02134
Phone (617) 787-8700

34 Traveler St
Boston, MA 02118
Phone (617) 623-6300

442 Cambridge St
Boston, MA 02134
Phone (617) 787-8700

71 Lansdowne St
Boston, MA 02215
Phone (617) 262-0030

62 Harvard St
Ste 1
Brookline, MA 02445
Phone (617) 262-0030

45 Tioga Way
Marblehead, MA 01945
Phone (781) 990-1978

259 Elm St
Ste 204
Somerville, MA 02144
Phone (617) 623-6300

259 Elm St
Ste 302
Somerville, MA 02144
Phone (617) 623-6300

503 Humphrey St
Swampscott, MA 01907
Phone (617) 987-0040

1665 Vfw Pkwy
West Roxbury, MA 02132
Phone (617) 926-2300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11813/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 62

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.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1245217546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 322",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021340003",
            "telephone_number": "617-623-6303",
            "fax_number": "617-242-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRAINTREE ST ST",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021341956",
            "telephone_number": "617-787-8700",
            "fax_number": "617-787-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON SPORTS MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "VELSMID",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "617-623-6303"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.