Organization Active NPI

Blue Hills Sport & Spine Rehabilitation, LLC

  • Physical Therapist
  • Braintree, MA
National Provider Identifier
1396150629
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BLUE HILLS SPORT & SPINE REHABILITATION, LLC
Practice address
340 Wood Rd
Ste 303
Braintree, MA 02184-2401
Phone
(781) 535-6053
Fax
(781) 535-6056
NPI assigned
Jun 25, 2014
Organization subpart
Yes
Parent organization
PINNACLE REHABILITATION NETWORK, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Karen Costa Natario
Title
Authorized Member
Phone
(978) 388-7272

Specialties & licenses 1

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

Addresses

Primary practice location

340 Wood Rd
Ste 303
Braintree, MA 02184-2401

Mailing address

340 Wood Rd
Ste 303
Braintree, MA 02184-2401
Phone (781) 535-6053

National Provider Directory

National Provider Directory
Part of
Pinnacle Rehab Network LLC

Locations

340 Wood Rd
Ste 303
Braintree, MA 02184
Phone (781) 535-6053

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1396150629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 WOOD RD",
            "address_2": "STE 303",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842401",
            "telephone_number": "781-535-6053",
            "fax_number": "781-535-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 WOOD RD",
            "address_2": "STE 303",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842401",
            "telephone_number": "781-535-6053",
            "fax_number": "781-535-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HILLS SPORT & SPINE REHABILITATION, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE REHABILITATION NETWORK, LLC",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "COSTA NATARIO",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "978-388-7272"
    },
    "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 Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.