Boston Pain & Rehab Center,Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

18660 Issued in MA

Legal business name

BOSTON PAIN & REHAB CENTER,INC

Practice address

524 Harvard St
Brookline, MA 02446-2463

Phone

(617) 630-9900

Fax

(617) 731-1001

NPI assigned

Oct 26, 2009

Last updated

Jun 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chang Yoon, PT.,DPTNPI 1538169552

Title

Owner

Phone

(617) 630-9900

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chang Goo Yoon, P.T.,DPT

  • Physical Therapist
  • Brookline, MA
  • NPI 1538169552
  NPD (past) Authorized official
• Edward David Segel, PT

  • Orthopedic Physical Therapist
  • Brookline, MA
  • NPI 1003060526
  NPD (past)

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1477889483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 HARVARD ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462463",
            "telephone_number": "617-630-9900",
            "fax_number": "617-731-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 HARVARD ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462463",
            "telephone_number": "617-630-9900",
            "fax_number": "617-731-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON PAIN & REHAB CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "CHANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-630-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT.,DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "18660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0936",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boston Laser Eye Institute, PC (Boston Vision)
• Boston Maternal-Fetal Medicine, LLC
• Boston Medical Center
• Boston MFM, LLC
• Boston MFM, LLC
• Boston Post Adoption Resources, Inc.
• Boston Ultrasound Consultants PC
• Boston Vision Network One
• Bostonia Dental Group P.C (Bostonia Dental of Brookline)
• Nicole Hurley Boudreau, MD

• Physical Therapy Clinic/Center in Brookline, MA
• Providers in Brookline, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.