New England Sports Orthopedics Spine & Rehabilitation LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

226816 Issued in MA

Legal business name

NEW ENGLAND SPORTS ORTHOPEDICS SPINE & REHABILITATION LLC

Practice address

483 Holyoke St
Ludlow, MA 01056-1934

Phone

(413) 314-2342

Fax

(866) 314-8454

NPI assigned

May 15, 2013

Organization subpart

No

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

Authorized official

Name

Wendy Tanner

Title

Contract Manager

Phone

(413) 788-6197

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1437595600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 MYRON ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891416",
            "telephone_number": "413-788-6197",
            "fax_number": "413-731-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 HOLYOKE ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010561934",
            "telephone_number": "413-314-2342",
            "fax_number": "866-314-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND SPORTS ORTHOPEDICS SPINE & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "413-788-6197"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "226816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Moshier, FNP-C
• Ashley Mourao, ATC, LAT
• Kellie Murphy
• Joann L. Nava, CRNA
• Kaytlin Ann Nelson, PHD
• New Life Chiropractic Care, L.L.C.
• Lily Nguyen, PA-S
• Judy Nham, NP
• Christine Gura Niedbala, PA-C
• Anne M. Nunnelly, PA

• Physical Medicine & Rehabilitation Physician in Ludlow, MA
• Providers in Ludlow, MA by specialty
• Physical Medicine & Rehabilitation Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.