Enliven Rehabilitation Services LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ENLIVEN REHABILITATION SERVICES LLC

Practice address

110 Haverhill Rd Ste 401
Amesbury, MA 01913-2121

Phone

(978) 517-3700

NPI assigned

Aug 2, 2019

Last updated

Aug 2, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

ENLIVEN REHABILITATION SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Brian C Goode

Title

Ceo

Phone

(603) 490-9725

Specialties & licenses 2

Addresses

Electronic endpoints 1

Tax ID family

Enliven Rehabilitation Services LLC3 organizations share this tax ID, including this one

Part of

Enliven Rehabilitation Services LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Enliven Rehabilitation Services LLC

  • Physical Therapist
  • Rocky Hill, CT
  • NPI 1255986691
  NPD tax ID
• Enliven Rehabilitation Services LLC

  • Physical Therapist
  • Gahanna, OH
  • NPI 1386202554
  NPD tax ID

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564704000000",
    "number": "1356996797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HAVERHILL RD STE 401",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HAVERHILL RD STE 401",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132121",
            "telephone_number": "978-517-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIVEN REHABILITATION SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENLIVEN REHABILITATION SERVICES LLC",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A",
        "authorized_official_last_name": "GOODE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-490-9725"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bgoode@ccbainc.com",
            "affiliation": "N",
            "address_1": "110 Haverhill Rd Ste 401",
            "city": "Amesbury",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019132121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen O Eldridge
• Charles J Elia, MA
• Elizabeth Calsey House
• Taylor Jordan Emery, MA CMHC (CANDIDATE)
• Encore Behavioral Health LLC
• Kaley Rose Enright, OTR/L
• Erin Ensel
• Amy Ernest
• Janet Ethel Evans, DPT
• Excella Associates LLC

• Physical Therapist in Amesbury, MA
• Providers in Amesbury, 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 2, 2019; 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.