NPIMap

Organization Active NPI

Lexington Physical Therapy Associates Inc

  • Physical Therapy Clinic/Center
  • Lexington, MA
National Provider Identifier
1275626160
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LEXINGTON PHYSICAL THERAPY ASSOCIATES INC
Practice address
35 Bedford St
Suite 5
Lexington, MA 02420-4320
Phone
(781) 861-8884
Fax
(781) 861-7665
NPI assigned
Oct 2, 2006
Last updated
May 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Susan Laviolette, PTNPI 1194910547
Title
Owner
Phone
(781) 861-8884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

35 Bedford St
Suite 5
Lexington, MA 02420-4320

Mailing address

35 Bedford St
Suite 5
Lexington, MA 02420-4320
Phone (781) 861-8884

Other identifiers 2

IdentifierTypeStateIssuer
800168OtherMATUFTS HEALTH PLAN
Y65629OtherMABCBS OF MASSACHUSETTS

National Provider Directory

National Provider Directory

Locations

35 Bedford St
Ste 5
Lexington, MA 02420
Phone (781) 861-8884

Practitioners & affiliated clinicians

Practitioners 3

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1275626160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BEDFORD ST",
            "address_2": "SUITE 5",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204320",
            "telephone_number": "781-861-8884",
            "fax_number": "781-861-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BEDFORD ST",
            "address_2": "SUITE 5",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204320",
            "telephone_number": "781-861-8884",
            "fax_number": "781-861-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON PHYSICAL THERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "LAVIOLETTE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-861-8884",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "800168",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MASSACHUSETTS",
            "identifier": "Y65629",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.