David Hurtado, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

215879 Issued in MA

Practice address

2181 Washington St
Suite 305
Roxbury, MA 02119-2082

Phone

(617) 541-0772

Fax

(617) 427-6220

NPI assigned

Nov 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Accord Management Services Inc

  dba Quantum Physical Therapy

  • Physical Therapist
  • Boston, MA
  • NPI 1114072295
  NPD (past)
• Atlantis Physical Therapy Group,Inc,

  • Physical Therapist
  • Roxbury, MA
  • NPI 1255473153
  NPD (past)
• Elmwood Orthopedic Rehab Center, Inc.

  • Physical Therapist
  • Providence, RI
  • NPI 1265567077
  NPD (past)

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376614412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 E INDIA ROW",
            "address_2": "UNIT 35-G",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021103320",
            "telephone_number": "857-891-8788",
            "fax_number": "617-427-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2181 WASHINGTON ST",
            "address_2": "SUITE 305",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021192082",
            "telephone_number": "617-541-0772",
            "fax_number": "617-427-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURTADO",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "215879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCVM",
            "identifier": "43531603",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J25762",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITIED HEALTHCARE",
            "identifier": "2300293",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3110263",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS HEALTH",
            "identifier": "2005531",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Leo Hughes Jr., MA
• Hugo & Tate PC
• Jini Huh
• Collin Hullum
• Kimberley Hurdle, MSW, LCSW
• Lindsay Digiovanni Hussey, RNNP
• Jennifer Veronica Hutley
• I and H Inc (Kornfield Drug)
• Uju Ilechukwu
• Eung Jun Im, PHD, DMD

• Physical Medicine & Rehabilitation Physician in Roxbury, MA
• Providers in Roxbury, MA by specialty
• Physical Medicine & Rehabilitation Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.