Active NPI
Step Ahead Physical Therapy
- Physical Therapy Clinic/Center
- Somerville, MA
National Provider Identifier
1528363116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 11191
- Legal business name
- STEP AHEAD PHYSICAL THERAPY
- Practice address
- 5 Middlesex Ave
Suite 203
Somerville, MA 02145-1102 - Phone
- (617) 240-9303
- NPI assigned
- Jan 13, 2011
- Last updated
- Mar 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Ciarletta
- Title
- Owner
- Phone
- (617) 240-9303
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 11191 | MA | Primary |
Addresses
Primary practice location
5 Middlesex Ave
Suite 203
Somerville, MA 02145-1102
Mailing address
111 Water St Apt 7
Beverly, MA 01915-5060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y67613 | Other | MA | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
50 Doaks Ln
Marblehead, MA 01945
Phone (617) 420-2041
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Physical Therapist
- Wayland, MA
- NPI 1962554774
-
- Physical Therapist
- Cambridge, MA
- NPI 1871746610
-
- Physical Therapist
- Hyde Park, MA
- NPI 1326159039
-
- Physical Therapist
- Somerville, MA
- NPI 1215546981
-
- Physical Therapist
- Marblehead, MA
- NPI 1346207800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299024000000",
"number": "1528363116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 WATER ST APT 7",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019155060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MIDDLESEX AVE",
"address_2": "SUITE 203",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021451102",
"telephone_number": "617-240-9303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEP AHEAD PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-13",
"last_updated": "2011-03-02",
"status": "A",
"authorized_official_last_name": "CIARLETTA",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-240-9303"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MA",
"license": "11191",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "Y67613",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.