NPIMap

Organization Active NPI

Mab Community Services, Inc

  • Physical Therapist
  • Worcester, MA
National Provider Identifier
1386224913
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MAB COMMUNITY SERVICES, INC
Practice address
799 W Boylston St Ste 7
Worcester, MA 01606-3071
Phone
(508) 854-0700
Fax
(508) 854-0733
NPI assigned
Apr 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Rebecca L Ashe, OTR/L
Title
Clinical Director
Phone
(508) 735-6241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

799 W Boylston St Ste 7
Worcester, MA 01606-3071

Mailing address

200 Ivy St
Brookline, MA 02446-3907
Phone (617) 738-5110

National Provider Directory

National Provider Directory
Tax ID family
Mab Community Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1386224913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 IVY ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463907",
            "telephone_number": "617-738-5110",
            "fax_number": "617-738-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 W BOYLSTON ST STE 7",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016063071",
            "telephone_number": "508-854-0700",
            "fax_number": "508-854-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAB COMMUNITY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "ASHE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "508-735-6241",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.