Organization Active NPI

Scanlon Physical Therapy Inc.

  • Specialist
  • Jamaica Plain, MA
National Provider Identifier
1306018627
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7536 Issued in MA
Legal business name
SCANLON PHYSICAL THERAPY INC.
Practice address
722 Centre St
Jamaica Plain, MA 02130-2516
Phone
(617) 522-5550
Fax
(617) 983-0884
NPI assigned
Mar 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Mr. William F ScanlonNPI 1982724449
Title
Physical Therapist/ President
Phone
(617) 522-5550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 7536 MA Primary

Addresses

Primary practice location

722 Centre St
Jamaica Plain, MA 02130-2516

Mailing address

722 Centre St
Jamaica Plain, MA 02130-2516
Phone (617) 522-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080529000625 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2860562113 Receives reassigned benefits from 1 practitioner
Practice locations: Jamaica Plain, MA

National Provider Directory

National Provider Directory

Locations

722 Centre St
Jamaica Plain, MA 02130
Phone (617) 522-5550

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1306018627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 CENTRE ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302516",
            "telephone_number": "617-522-5550",
            "fax_number": "617-983-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 CENTRE ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302516",
            "telephone_number": "617-522-5550",
            "fax_number": "617-983-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCANLON PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "SCANLON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ PRESIDENT",
        "authorized_official_telephone_number": "617-522-5550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "7536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.