NPIMap

Organization Active NPI

Proex Physical Therapy, LLC

  • Occupational Therapist
  • Boston, MA
National Provider Identifier
1508757956
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
PROEX PHYSICAL THERAPY, LLC
Practice address
1300 Soldiers Field Rd
Boston, MA 02135-1032
Phone
(857) 540-5252
NPI assigned
Jul 14, 2025
Last updated
Jul 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
George PapadopoulosNPI 1154385862
Title
Authorize Official
Phone
(631) 359-5859

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
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

1300 Soldiers Field Rd
Boston, MA 02135-1032

Mailing address

576 Broadhollow Rd
Melville, NY 11747-5012

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250829001154 MA DME Supplier - Independently-Practicing Occupational Therapist 0345212395 Practice locations: Boston, MA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Proex Physical Therapy LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

607 Boylston St
Fl 4
Boston, MA 02116
Phone (857) 240-0909

400 Franklin St
Ste 200
Braintree, MA 02184
Phone (781) 214-6544

1600 Falmouth Rd
Ste 34
Centerville, MA 02632
Phone (508) 775-0060

1620 Falmouth Rd
Unit 34
Centerville, MA 02632
Phone (508) 775-0060

99 Conifer Hill Dr
Ste 302
Danvers, MA 01923
Phone (978) 716-5144

33 Electric Ave
Fitchburg, MA 01420
Phone (978) 342-1200

389 Main St
Ste C
Haverhill, MA 01830
Phone (978) 478-5050

1060 Falmouth Rd
Ste B
Hyannis, MA 02601
Phone (508) 775-0060

19 Needham St
Ste 201
Newton, MA 02461
Phone (617) 213-1350

385 Washington St
Quincy, MA 02169
Phone (617) 479-1434

439 Station Ave
South Yarmouth, MA 02664
Phone (508) 237-7588

1150 Hall of Fame Ave
Ste 3
Springfield, MA 01105
Phone (413) 241-8900

63 Pleasant St
Ste 2
Watertown, MA 02472
Phone (603) 427-8066

600 Main St
Winchester, MA 01890
Phone (781) 218-1044

1 Arrow Dr
Ste 2
Woburn, MA 01801
Phone (781) 935-2655

Practitioners & affiliated clinicians

Practitioners 210

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.

View all 210

NPI Registry JSON

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1508757956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BROADHOLLOW RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SOLDIERS FIELD RD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021351032",
            "telephone_number": "857-540-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROEX PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "PAPADOPOULOS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "AUTHORIZE OFFICIAL",
        "authorized_official_telephone_number": "631-359-5859"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.