Healing Smile Pediatric Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

18735 Issued in MA

Legal business name

HEALING SMILE PEDIATRIC PHYSICAL THERAPY, LLC

Practice address

4 Militia Dr
Lexington, MA 02421-4737

Phone

(339) 970-8630

NPI assigned

Jan 19, 2015

Organization subpart

No

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

Authorized official

Name

Mary Poblete, DPTNPI 1255734083

Title

Physical Therapist

Phone

(339) 970-8630

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Poblete, PT, DPT, C/NDT

  • Pediatric Physical Therapist
  • Lexington, MA
  • NPI 1255734083
  NPD (past) Authorized official

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421625600000",
    "number": "1255720900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BEACON ST",
            "address_2": "APARTMENT 2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021434353",
            "telephone_number": "949-395-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MILITIA DR",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024214737",
            "telephone_number": "339-970-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING SMILE PEDIATRIC PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A",
        "authorized_official_last_name": "POBLETE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "339-970-8630",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "18735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel A Hartstein, LIC. AC.
• Margot Grace Hartunian
• Catherine Elizabeth Harvey
• R. Scott Hawkins, PMI
• Robert Hawkins
• Hear More Associates
• Sara E Heaton
• Tracy H Heibeck, PH.D.
• Heidi Lack, PHD, Atr-BC
• Tabitha KB Heidorn

• Physical Therapy Clinic/Center in Lexington, MA
• Providers in Lexington, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.