Boston Physiatry LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

BOSTON PHYSIATRY LLC

Practice address

799 Concord Ave
1St Floor, Spine Center
Cambridge, MA 02138-1048

Phone

(617) 547-7163

Fax

(617) 547-7165

NPI assigned

Dec 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Seyed Ali Mostoufi, MD

Title

Partner

Phone

(617) 547-7163

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1457716433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 CONCORD AVE",
            "address_2": "1ST FLOOR, SPINE CENTER",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381048",
            "telephone_number": "617-547-7163",
            "fax_number": "617-547-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 CONCORD AVE",
            "address_2": "1ST FLOOR, SPINE CENTER",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381048",
            "telephone_number": "617-547-7163",
            "fax_number": "617-547-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON PHYSIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "MOSTOUFI",
        "authorized_official_first_name": "SEYED",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "617-547-7163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boston Chiropractic at Cambridge LLC
• Boston Eye Care Center, LLC
• Boston Eye Care Center,LLC
• Boston LTSS Community Partners, LLC
• Boston Nutrition Consulting, LLC
• Reid Thomas Boswell, M.D., M.P.H.
• Leslie Bosworth, LICSW
• Jeffrey A Botman, PH.D.
• Jenna Boucher, DPT
• Miranda Mara Boucher

• Physical Medicine & Rehabilitation Physician in Cambridge, MA
• Providers in Cambridge, 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 Dec 17, 2015; 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.