NPIMap

Organization Active NPI

Atlantis Physical Therapy

  • Physical Therapist
  • Dorchester, MA
National Provider Identifier
1467594143
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11044 Issued in MA
Legal business name
ATLANTIS PHYSICAL THERAPY
Practice address
15 Christopher St
Dorchester, MA 02122-1218
Phone
(617) 436-3200
Fax
(617) 436-1555
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Igor Yatskar, M.S.,P.T.NPI 1104848993
Title
President
Phone
(617) 436-3200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 11044 MA Primary

Addresses

Primary practice location

15 Christopher St
Dorchester, MA 02122-1218

Mailing address

834 Blue Hill Ave
Dorchester Center, MA 02124-1607
Phone (617) 436-3200

National Provider Directory

National Provider Directory

Locations

15 Christopher St
Dorchester, MA 02122
Phone (617) 288-7450

834 Blue Hill Ave
Dorchestr Ctr, MA 02124
Phone (617) 929-1000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467594143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 BLUE HILL AVE",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021241607",
            "telephone_number": "617-436-3200",
            "fax_number": "617-436-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CHRISTOPHER ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021221218",
            "telephone_number": "617-436-3200",
            "fax_number": "617-436-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YATSKAR",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-436-3200",
        "authorized_official_credential": "M.S.,P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "11044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.