Masonic Health System of Massachusetts Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

MASONIC HEALTH SYSTEM OF MASSACHUSETTS INC.

Doing business as

Overlook Outpatient Rehabilitation and Wellness

Practice address

88 Masonic Home Rd
Charlton, MA 01507-1394

Phone

(508) 434-2010

Fax

(508) 831-7165

NPI assigned

Jan 4, 2008

Last updated

Apr 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela A Jones

Title

VP Finance Treasurer

Phone

(508) 434-2412

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Overlook Outpatient Rehabilitation and Wellness Doing business as

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1255516605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MASONIC HOME RD",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "015071394",
            "telephone_number": "508-434-2010",
            "fax_number": "508-831-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MASONIC HOME RD",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "015071394",
            "telephone_number": "508-434-2010",
            "fax_number": "508-831-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASONIC HEALTH SYSTEM OF MASSACHUSETTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP FINANCE TREASURER",
        "authorized_official_telephone_number": "508-434-2412"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9743481",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Overlook Outpatient Rehabilitation and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arash Maleki, MD
• Peter Maly, R.D.O.
• Julie March
• Yesenia Marie Marquez
• Jessica Tyler Martin, LADC 1, LMHC
• Masonic Home Inc.
• Kristin Anne Mattson, P.T.
• McManus Counseling PC
• Michael James McManus Jr., MSW LICSW
• Patricia A McManus, OTR/L

• Rehabilitation Clinic/Center in Charlton, MA
• Providers in Charlton, MA by specialty
• Rehabilitation Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.