Ema Physical Therapy & Wellness Center LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1162 Issued in MA

Legal business name

EMA PHYSICAL THERAPY & WELLNESS CENTER LLC

Practice address

449 Eastern Ave
Chelsea, MA 02150-3129

Phone

(617) 466-1948

Fax

(617) 466-1504

NPI assigned

Jan 4, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Charles J Antzak Jr.

Title

Owner

Phone

(617) 359-7120

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1427593102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 EASTERN AVE",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021503129",
            "telephone_number": "617-466-1948",
            "fax_number": "617-466-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 EASTERN AVE",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021503129",
            "telephone_number": "617-466-1948",
            "fax_number": "617-466-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMA PHYSICAL THERAPY & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "ANTZAK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-359-7120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "1162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Chelsea, MA
• Providers in Chelsea, 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 Mar 2, 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.