Paragon Rehab

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2445 Issued in MA

Legal business name

PARAGON REHAB

Practice address

255 Central Ave
Chelsea, MA 02150-3508

Phone

(161) 766-0260

NPI assigned

Sep 18, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Robert Wood

Title

Cota/L

Phone

(617) 660-2601

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1275883126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BEACH ST",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452902",
            "telephone_number": "178-185-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 CENTRAL AVE",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021503508",
            "telephone_number": "161-766-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "COTA/L",
        "authorized_official_telephone_number": "16176602601",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "2445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yahye Osman
• Vicki Otis
• Lina Pabon Nau, MD
• Aida P Padron Costas, DMD
• Katherine Palencia
• Soo Ho Park, LMHC
• Yeun-Joung Park, D.D.S.
• Amanda Parra
• Pardis Parsa
• Keshar Patel

• Skilled Nursing Facility in Chelsea, MA
• Providers in Chelsea, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.