Jeremy Edwin Hudson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

18342 Issued in MA

Practice address

209 Columbus Ave
Basement Inside Back Bay Crossfits
Boston, MA 02116-5109

Phone

(617) 429-3577

Fax

(617) 375-8581

NPI assigned

Nov 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spine & Sports Injury Center, P.C.

  • Chiropractor
  • Boston, MA
  • NPI 1891840922
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1295806537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 COLUMBUS AVE",
            "address_2": "BASEMENT INSIDE BACK BAY CROSSFIT",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165109",
            "telephone_number": "617-429-3577",
            "fax_number": "617-375-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 COLUMBUS AVE",
            "address_2": "BASEMENT INSIDE BACK BAY CROSSFITS",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165109",
            "telephone_number": "617-429-3577",
            "fax_number": "617-375-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "JEREMY",
        "middle_name": "EDWIN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylee Nicole Huck, MD
• William J Hucker, MD, PHD
• Zoha Huda, MD
• Timothy R Hudd, PHARM.D.
• Amy Hudson
• Kaitlin Hudson, FNP-C, RN
• Lina Hudson, DPT
• Margo S Hudson, MD
• Megan Elizabeth Hudson
• Stephanie G Hudson

• Physical Therapist in Boston, MA
• Providers in Boston, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.