Active NPI
Boston Injury & Rehab
- Clinic/Center
- Brockton, MA
National Provider Identifier
1376271882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- BOSTON INJURY & REHAB
- Practice address
- 425 Pleasant St # 202
Brockton, MA 02301-2533 - Phone
- (508) 635-1625
- Fax
- (508) 635-1624
- NPI assigned
- Aug 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Anthony Paul Maugere
- Title
- President
- Phone
- (954) 682-4881
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
425 Pleasant St # 202
Brockton, MA 02301-2533
Mailing address
425 Pleasant St # 202
Brockton, MA 02301-2533
Phone (508) 635-1625
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.practicefusion.com | Direct |
National Provider Directory
National Provider DirectoryLocations
425 Pleasant St
Ste 202
Brockton, MA 02301
Phone (508) 635-1625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660176000000",
"number": "1376271882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 PLEASANT ST # 202",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012533",
"telephone_number": "508-635-1625",
"fax_number": "508-635-1624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 PLEASANT ST # 202",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012533",
"telephone_number": "508-635-1625",
"fax_number": "508-635-1624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOSTON INJURY & REHAB",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-11",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A",
"authorized_official_last_name": "MAUGERE",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-682-4881",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.practicefusion.com",
"affiliation": "N",
"endpointDescription": "Electronic Medical System",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Medical Records/Patient information",
"address_1": "425 Pleasant St # 202",
"city": "Brockton",
"state": "MA",
"country_code": "US",
"postal_code": "023012533",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brockton, MA
- Maria A Borey, MSW
- Amanda Borges, COTA/L
- Sara Louise Borrello, MS, RDN, LDN
- Chika Bosah, DHSC
- Olivera B Boskovska, MD
- Boston Medical Center - South Corporation
- Boston Medical Center - South Corporation
- Boston Medical Center - South Corporation
- Boston Medical Center - South Corporation
- Boston Medical Center - South Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.