Organization Active NPI

Soleil Physical Therapy & Wellness, Inc

  • Physical Therapy Clinic/Center
  • Quincy, MA
National Provider Identifier
1336325224
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
433 Issued in MA
Legal business name
SOLEIL PHYSICAL THERAPY & WELLNESS, INC
Practice address
1223 Hancock St
Quincy, MA 02169-4342
Phone
(617) 376-3232
Fax
(617) 376-3234
NPI assigned
Jan 10, 2008
Last updated
Mar 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Authorized official

Name
Garnet Goss
Title
President
Phone
(617) 376-3232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 433 MA Primary

Addresses

Primary practice location

1223 Hancock St
Quincy, MA 02169-4342

Mailing address

1223 Hancock St
Quincy, MA 02169-4342
Phone (617) 376-3232

Other identifiers 1

IdentifierTypeStateIssuer
110084274AMedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150818003067 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9931266913 Receives reassigned benefits from 5 practitioners
Practice locations: Quincy, MA

National Provider Directory

National Provider Directory

Locations

111 Washington St
Ste 101
Quincy, MA 02169
Phone (617) 376-3232

1223 Hancock St
Quincy, MA 02169
Phone (617) 376-3232

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1336325224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694342",
            "telephone_number": "617-376-3232",
            "fax_number": "617-376-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694342",
            "telephone_number": "617-376-3232",
            "fax_number": "617-376-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLEIL PHYSICAL THERAPY & WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "GOSS",
        "authorized_official_first_name": "GARNET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-376-3232"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110084274A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.