NPIMap

Organization Active NPI

Doctors Physio,Inc

  • Physical Therapy Clinic/Center
  • Waltham, MA
National Provider Identifier
1437508421
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
18216 Issued in MA
Legal business name
DOCTORS PHYSIO,INC
Practice address
221 Moody St
Waltham, MA 02453-5322
Phone
(617) 731-1001
NPI assigned
Jun 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Edward Segel, PT
Title
Director
Phone
(617) 731-1004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 18216 MA Primary

Addresses

Primary practice location

221 Moody St
Waltham, MA 02453-5322

Mailing address

221 Moody St
Waltham, MA 02453-5322
Phone (617) 731-1001

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1437508421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MOODY ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535322",
            "telephone_number": "617-731-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MOODY ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535322",
            "telephone_number": "617-731-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS PHYSIO,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "SEGEL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-731-1004",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "18216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.