Organization Active NPI

Greater Boston Family Physical Therapy

  • Physical Therapist
  • Burlington, MA
National Provider Identifier
1396083671
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
734 Issued in MA
Legal business name
GREATER BOSTON FAMILY PHYSICAL THERAPY
Practice address
83 Cambridge St
Suite 2B
Burlington, MA 01803-4157
Phone
(781) 365-1876
Fax
(781) 365-1752
NPI assigned
Jan 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
Nam Joe Kim, PH.D
Title
President
Phone
(781) 365-1876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 734 MA Primary

Addresses

Primary practice location

83 Cambridge St
Suite 2B
Burlington, MA 01803-4157

Mailing address

83 Cambridge St
Suite 2B
Burlington, MA 01803-4157
Phone (781) 365-1876

National Provider Directory

National Provider Directory

Locations

87 Cambridge St
Ste 4
Burlington, MA 01803
Phone (781) 365-1876

83 Cambridge St
Ste 2B
Burlington, MA 01803
Phone (781) 221-3180

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1396083671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 CAMBRIDGE ST",
            "address_2": "SUITE 2B",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034157",
            "telephone_number": "781-365-1876",
            "fax_number": "781-365-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 CAMBRIDGE ST",
            "address_2": "SUITE 2B",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034157",
            "telephone_number": "781-365-1876",
            "fax_number": "781-365-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BOSTON FAMILY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "NAM JOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-365-1876",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.