Organization Active NPI

Top Spine & Joint Physical Therapy Inc

  • Physical Therapist
  • Brookline, MA
National Provider Identifier
1407355944
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22347 Issued in MA
Legal business name
TOP SPINE & JOINT PHYSICAL THERAPY INC
Practice address
320 Washington St Ste C
Brookline, MA 02445-6873
Phone
(617) 879-1599
Fax
(617) 879-1606
NPI assigned
Feb 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Authorized official

Name
Dr. Miran Kwon, DPTNPI 1083160311
Title
President
Phone
(617) 879-1599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 22347 MA Primary

Addresses

Primary practice location

320 Washington St Ste C
Brookline, MA 02445-6873

Mailing address

320 Washington St Ste C
Brookline, MA 02445-6873

National Provider Directory

National Provider Directory

Locations

320 Washington St
Ste C
Brookline, MA 02445
Phone (617) 879-1599

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1518307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1407355944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WASHINGTON ST STE C",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WASHINGTON ST STE C",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456873",
            "telephone_number": "617-879-1599",
            "fax_number": "617-879-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOP SPINE & JOINT PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-11",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "MIRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-879-1599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.