NPIMap

Organization Active NPI

Atlantis Physical Therapy Group,Inc,

  • Physical Therapist
  • Roxbury, MA
National Provider Identifier
1255473153
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ATLANTIS PHYSICAL THERAPY GROUP,INC,
Practice address
62 Warren St
Roxbury, MA 02119-3253
Phone
(617) 442-0111
NPI assigned
Feb 14, 2007
Last updated
Oct 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Mr. Mohit Kaushik, DPTNPI 1801152350
Title
President
Phone
(617) 442-0111

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X
Physical Therapist 225100000X Primary

Addresses

Primary practice location

62 Warren St
Roxbury, MA 02119-3253

Mailing address

599 Washington St
Dorchester Center, MA 02124-2033
Phone (617) 288-6005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080208000030 MA Part B Supplier - Clinic/Group Practice 1557318649 Receives reassigned benefits from 3 practitioners
Practice locations: Roxbury, MA

National Provider Directory

National Provider Directory

Locations

599 Washington St
Dorchester Center, MA 02124
Phone (617) 282-7120

62 Warren St
Roxbury, MA 02119
Phone (617) 442-0111

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1255473153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 WASHINGTON ST",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021242033",
            "telephone_number": "617-288-6005",
            "fax_number": "617-288-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 WARREN ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021193253",
            "telephone_number": "617-442-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS PHYSICAL THERAPY GROUP,INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "KAUSHIK",
        "authorized_official_first_name": "MOHIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-442-0111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.