Organization Active NPI

Buzzards Bay Hand Therapy LLC

  • Rehabilitation Clinic/Center
  • Wareham, MA
National Provider Identifier
1386786770
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
5789 Issued in MA
Legal business name
BUZZARDS BAY HAND THERAPY LLC
Practice address
24B Sandwich Rd
Wareham, MA 02571-1628
Phone
(508) 295-7400
NPI assigned
Feb 13, 2007
Last updated
Dec 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Brian C Knutsen, OTRL, CHTNPI 1316045081
Title
President
Phone
(508) 295-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 5789 MA Primary

Addresses

Primary practice location

24B Sandwich Rd
Wareham, MA 02571-1628

Mailing address

24B Sandwich Rd
Wareham, MA 02571-1628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081001000420 MA Part B Supplier - Clinic/Group Practice 7214005453 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Marion, MA; Lexington, MA
O20100930056620 MA DME Supplier - Independently-Practicing Occupational Therapist 7214005453 Practice locations: Marion, MA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Buzzards Bay Hand Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

119 Wareham Rd
Unit 107
Marion, MA 02738
Phone (508) 748-3933

24B Sandwich Rd
Wareham, MA 02571
Phone (508) 291-6119

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1386786770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24B SANDWICH RD",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025711628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24B SANDWICH RD",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025711628",
            "telephone_number": "508-295-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUZZARDS BAY HAND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "KNUTSEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-295-7400",
        "authorized_official_credential": "OTRL, CHT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MA",
            "license": "5789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wareham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.