Boston Spine and Performance, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

BOSTON SPINE AND PERFORMANCE, LLC

Practice address

665 Boylston St Ste 3
Boston, MA 02116-4825

Phone

(774) 201-9878

NPI assigned

Jul 3, 2020

Last updated

Jul 3, 2020By 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

Sara Gagne, DCNPI 1710402052

Title

Owner

Phone

(774) 201-9878

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Sara Gagne, DC

  • Chiropractor
  • Quincy, MA
  • NPI 1710402052
  NPD Authorized official

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593734400000",
    "number": "1285251413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CLARENDON ST APT 402",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021166145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 BOYLSTON ST STE 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021164825",
            "telephone_number": "774-201-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON SPINE AND PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-03",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A",
        "authorized_official_last_name": "GAGNE",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-201-9878",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boston Smiles PLLC (Boston Smiles)
• Boston Specialists - Endoscopy LLC
• Boston Specialists - NWH LLC
• Boston Specialists - South Shore LLC
• Boston Specialists - Stewards Network LLC
• Boston Sports & Shoulder Center, LLC (Boston Sports & Shoulder Center)
• Boston Telehealth Inc.
• Boston Therapy Collective, PLLC
• Boston Therapy Group LLC (Boston Therapy)
• Boston Thyroid Center, LLC

• Health Service Clinic/Center in Boston, MA
• Providers in Boston, MA by specialty
• Health Service Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; 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.