Organization Active NPI

Boston Injury & Rehab

  • Clinic/Center
  • Brockton, MA
National Provider Identifier
1376271882
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Aug 11, 2022

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Other URL www.practicefusion.com Direct

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.