Individual provider Active NPI

Michael Boston, THERAPIST

  • Physical Therapist
  • Greenbelt, MD
National Provider Identifier
1396784179
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19450 Issued in MD
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
J Richard Lilly MD Shaaron R Towns MD and Associates PC Past Accepting new patients
Accessible Physical Therapy Services, LLC Physical Therapist PastSince Nov 24, 2019 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.

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.

Verify at the official NPI Registry.