District Physical Therapy & Wellness

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

20399 Issued in MA

Legal business name

DISTRICT PHYSICAL THERAPY & WELLNESS

Practice address

9 Earl St
Boston, MA 02127-2532

Phone

(339) 223-0874

NPI assigned

Feb 16, 2017

Organization subpart

No

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

Authorized official

Name

Luke Dilillo

Title

Owner, Physical Therapist

Phone

(339) 223-0874

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1407395916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 EARL ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021272532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 EARL ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021272532",
            "telephone_number": "339-223-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT PHYSICAL THERAPY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "DILILLO",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "339-223-0874"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "20399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lauren Diskin, MD
• Alexandra Catherine Distaso, FNP-BC
• Laura Ellen Distefano, CRNA
• Laura M Distel, PHD
• Shelby Distenfeld
• Maura E Ditillio, CPNP
• Erica Lee Ditkoff, M.D.
• Hillary Lee Ditmars, PHD
• Daniel Ditoro, MD, PHD
• Stephanie Ditraglia

• Physical Therapy Clinic/Center in Boston, MA
• Providers in Boston, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.