North Shore Rehabilitation Associates Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

NORTH SHORE REHABILITATION ASSOCIATES INC.

Practice address

121 Broad Street
Lynn, MA 01901-1629

Phone

(781) 593-9090

Fax

(780) 593-9093

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Alex Pyatigorskiy

Title

President

Phone

(781) 593-9093

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vincent De Martino, PT

  • Physical Therapist
  • Brookline, MA
  • NPI 1649313693
  NPD

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1407079759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BROAD STREET",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011629",
            "telephone_number": "781-593-9090",
            "fax_number": "780-593-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BROAD STREET",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011629",
            "telephone_number": "781-593-9090",
            "fax_number": "780-593-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE REHABILITATION ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "PYATIGORSKIY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-593-9093",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9751441",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Region Homecare LLC
• North Shore Adult Day Health Care Center LLC
• North Shore General and Vascular Associates P.C.
• North Shore Home Care Resources LLC
• North Shore Rehabilitation Associates Inc.
• North Shore Women'S Center
• Northeast Cardiology, Inc.
• Northeast Hospital Corporation
• Northeast Physician Practice
• Northeastern Counseling Associates

• Multi-Specialty Clinic/Center in Lynn, MA
• Providers in Lynn, MA by specialty
• Multi-Specialty Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.