Sports Rehabilitation Unlimited, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPORTS REHABILITATION UNLIMITED, LLC

Practice address

15 Manning Avenue
Middleton, MA 01949

Phone

(781) 248-8057

NPI assigned

Aug 28, 2016

Organization subpart

No

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

Authorized official

Name

Matthew PenneyNPI 1043291198

Title

President

Phone

(781) 248-8057

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Penney, PT

  • Physical Therapist
  • Boston, MA
  • NPI 1043291198
  Medicare reassignment Care Compare group NPD Authorized official
• Giselle Charette

  • Physical Therapist
  • Westwood, MA
  • NPI 1912617564
  Medicare reassignment Care Compare group NPD
• Evangelos Fradelakis

  • Physical Therapist
  • Middleton, MA
  • NPI 1477423788
  Medicare reassignment Care Compare group NPD
• Patrick Williams, DPT

  • Physical Therapist
  • Armonk, NY
  • NPI 1053869537

  MA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1417403742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MANNING AVENUE",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "01949",
            "telephone_number": "781-248-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MANNING AVENUE",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "01949",
            "telephone_number": "781-248-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS REHABILITATION UNLIMITED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "PENNEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-248-8057"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Silva, BS
• Brittany S Smith
• Erin E Smith, PHARMD
• Samantha Spagnuolo, LMHC
• Sports Medicine North Orthopaedic Surgery, Inc
• Sportsfit Physical Therapy, LLC
• Spring Valley Behavioral Consultants LLC
• Standard Medical Group LLC
• Kelli Ann Sullivan, LICSW
• Julie Renee Sulzinsky, NP

• Physical Therapist in Middleton, MA
• Providers in Middleton, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.