NPIMap

Organization Active NPI

Doctor Physical Therapy,Inc

  • Physical Therapy Clinic/Center
  • Brookline, MA
National Provider Identifier
1285971986
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
18660 Issued in MA
Legal business name
DOCTOR PHYSICAL THERAPY,INC
Practice address
44 Washington St
Suite 104
Brookline, MA 02445-7130
Phone
(617) 731-1004
Fax
(617) 731-1001
NPI assigned
Jan 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Dr. Chang Yoon, DPT
Title
Director
Phone
(617) 731-1004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 18660 MA Primary

Addresses

Primary practice location

44 Washington St
Suite 104
Brookline, MA 02445-7130

Mailing address

44 Washington St
Suite 104
Brookline, MA 02445-7130
Phone (617) 731-1004

National Provider Directory

National Provider Directory

Locations

44 Washington St
Ste 104
Brookline, MA 02445
Phone (617) 731-1001

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1285971986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 WASHINGTON ST",
            "address_2": "SUITE 104",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457130",
            "telephone_number": "617-731-1004",
            "fax_number": "617-731-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 WASHINGTON ST",
            "address_2": "SUITE 104",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457130",
            "telephone_number": "617-731-1004",
            "fax_number": "617-731-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR PHYSICAL THERAPY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "CHANG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-731-1004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "18660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.