Brockton Rehabilitation Services Corp

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

686 Issued in MA

Legal business name

BROCKTON REHABILITATION SERVICES CORP

Practice address

425 Pleasant St
Lower Level
Brockton, MA 02301-2533

Phone

(508) 559-5135

NPI assigned

Mar 1, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Arkadi Katsnelson

Title

Manager

Phone

(617) 594-6603

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1467726844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 PLEASANT ST",
            "address_2": "LOWER LEVEL",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PLEASANT ST",
            "address_2": "LOWER LEVEL",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012533",
            "telephone_number": "508-559-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCKTON REHABILITATION SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "KATSNELSON",
        "authorized_official_first_name": "ARKADI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-594-6603",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MA",
            "license": "686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brockton Physical Therapy & Rehabilitation, Inc.
• Brockton Radiation Oncology
• Brockton Radiological Associates, Inc.
• Brockton Recovery Medical Associates PC
• Brockton Rehabilitation and Nursing Center LLC (Champion Rehabilitation and Nursing Center)
• Brockton Smiles Youth Dentistry, LLC
• Brockton Visiting Nurse Association
• Brockton Visiting Nurse Association
• Neil Broderick
• Samuel Patrick Broe, RN

• Point of Service in Brockton, MA
• Providers in Brockton, MA by specialty
• Point of Service in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.