I- Spine Intervention LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

I- SPINE INTERVENTION LLC

Practice address

14 Research PL
N Chelmsford, MA 01863-2412

Phone

(978) 454-0706

Fax

(978) 259-4695

NPI assigned

Feb 1, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Atul L Bhat, MD

Title

Officer

Phone

(978) 454-0706

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1497254734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RESEARCH PL",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018632412",
            "telephone_number": "978-454-0706",
            "fax_number": "978-259-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RESEARCH PL",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018632412",
            "telephone_number": "978-454-0706",
            "fax_number": "978-259-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I- SPINE INTERVENTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "BHAT",
        "authorized_official_first_name": "ATUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "978-454-0706",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1144290222",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Fortune, MD
• Carol A Gagne, NP
• Elisabeth Rosl Gennis, MD
• Greater North Transportation
• Felix Samson Gregorian
• Miret Ibrahim, MD
• Walter Moon Jo, MD
• Merri Lee Johnson, AAMA
• Roula Johnstone, ACNP-BC
• Elizabeth Kyambadde, BSN

• Physical Medicine & Rehabilitation Physician in N Chelmsford, MA
• Providers in N Chelmsford, 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 Feb 1, 2018; 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.