Active NPI
Michael Boston, THERAPIST
- Physical Therapist
- Greenbelt, MD
National Provider Identifier
1396784179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19450
- Practice address
- 8749 Greenbelt Rd
Greenbelt, MD 20770-2403 - Phone
- (301) 552-8700
- Fax
- (301) 552-0175
- NPI assigned
- Jun 6, 2006
- Last updated
- Sep 28, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 19450 | MD | Primary |
Addresses
Primary practice location
8749 Greenbelt Rd
Greenbelt, MD 20770-2403
Mailing address
8749 Greenbelt Rd
Greenbelt, MD 20770-2403
Phone (301) 552-8700
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Richard Lilly MD Shaaron R Towns MD and Associates PC | Past | Accepting new patients | |
| Accessible Physical Therapy Services, LLC | Physical Therapist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Greenbelt, MD
- NPI 1669410759
-
- General Practice Physician
- Hyattsville, MD
- NPI 1336135821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443398400000",
"number": "1396784179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8749 GREENBELT RD",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207702403",
"telephone_number": "301-552-8700",
"fax_number": "301-552-0175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8749 GREENBELT RD",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207702403",
"telephone_number": "301-552-8700",
"fax_number": "301-552-0175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSTON",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2015-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "19450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.