A-Game Physical Therapy and Rehabilitation Corp.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

17858 Issued in MA

Legal business name

A-GAME PHYSICAL THERAPY AND REHABILITATION CORP.

Practice address

556 Cambridge St
101
Allston, MA 02134-2496

Phone

(857) 445-3773

Fax

(617) 916-5733

NPI assigned

Aug 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Elvira Karakozova, DPTNPI 1205245362

Title

President

Phone

(857) 445-3773

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

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

• Elvira Karakozova, DPT

  • Physical Therapy Clinic/Center
  • Allston, MA
  • NPI 1205245362
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1255740056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 CAMBRIDGE ST",
            "address_2": "101",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021342496",
            "telephone_number": "857-445-3773",
            "fax_number": "617-916-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 CAMBRIDGE ST",
            "address_2": "101",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021342496",
            "telephone_number": "857-445-3773",
            "fax_number": "617-916-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-GAME PHYSICAL THERAPY AND REHABILITATION CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "KARAKOZOVA",
        "authorized_official_first_name": "ELVIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "857-445-3773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "17858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia A.B. Abbuah
• Valeriya Abelis
• Benjamin Abraham, PHARMD
• Joseph Domnic Accardi
• Oluwafemi John Adebayo

• Physical Therapy Clinic/Center in Allston, MA
• Providers in Allston, 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 Aug 5, 2014; 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.