Active NPI
Sebastien Poirier
- Orthopedic Physical Therapist
- Newton, MA
National Provider Identifier
1376893867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 20214
- Practice address
- 425 Centre St
Newton, MA 02458-2063 - Phone
- (617) 244-1990
- Fax
- (617) 244-1811
- NPI assigned
- Sep 12, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 20214 | MA | Primary |
Addresses
Primary practice location
425 Centre St
Newton, MA 02458-2063
Mailing address
425 Centre St
Newton, MA 02458-2063
Phone (617) 244-1990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20214 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marathon Physical Therapy and Sports Medicine, LLC | Past | Accepting new patients | |
| Marathon Physical Therapy and Sports Medicine, LLC | Orthopedic | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Norton, MA
- NPI 1225161193
Orthopedic
-
- Physical Therapist
- Newton, MA
- NPI 1346373115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1376893867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 CENTRE ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024582063",
"telephone_number": "617-244-1990",
"fax_number": "617-244-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 CENTRE ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024582063",
"telephone_number": "617-244-1990",
"fax_number": "617-244-1811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POIRIER",
"first_name": "SEBASTIEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-12",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MA",
"license": "20214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.