Individual provider Active NPI

Robert John Stravinsky, PT, DPT

  • Physical Therapist
  • Waltham, MA
National Provider Identifier
1508413295
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24414 Issued in MA
Practice address
431 River St Ste 4
Waltham, MA 02453-5483
Phone
(781) 314-1000
NPI assigned
Aug 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24414 MA Primary

Addresses

Primary practice location

431 River St Ste 4
Waltham, MA 02453-5483

Mailing address

576 Broadhollow Road
Suite Pro Ex
Melville, NY 11747
Phone (631) 359-5859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190906002070 MA Practitioner - Physical Therapist in Private Practice 8022347616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mass Bay Spine and Sport Physical Therapy IncGroup PAC ID 6709815046, 9 clinicians

Practice addresses (Care Compare)

506 Plain St
Suite 101
Marshfield, MA 02050-2745
Phone (781) 319-0024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24414MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mass Bay Spine & Sport Physical Therapy, Inc. Physical Therapist CurrentSince Oct 24, 2022 Accepting new patients

Locations

506 Plain St
Ste 101
Marshfield, MA 02050
Phone (781) 319-0024

91 Carver Rd
Ste E2
Plymouth, MA 02360
Phone (508) 747-2197

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1508413295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BROADHOLLOW ROAD",
            "address_2": "SUITE PRO EX",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "11747",
            "telephone_number": "631-359-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 RIVER ST STE 4",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535483",
            "telephone_number": "781-314-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAVINSKY",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.