Fairlawn Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

21398 Issued in MA

Legal business name

FAIRLAWN PHYSICAL THERAPY LLC

Practice address

22 Taintor Dr
Sudbury, MA 01776-1267

Phone

(201) 417-3776

NPI assigned

Nov 5, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Natalya Perlov, PTNPI 1427032846

Title

President

Phone

(201) 417-3776

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Natalya Perlov, PT

  • Physical Therapist
  • Sudbury, MA
  • NPI 1427032846
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1528464351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 TAINTOR DR",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761267",
            "telephone_number": "201-417-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 TAINTOR DR",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761267",
            "telephone_number": "201-417-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRLAWN PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "PERLOV",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-417-3776",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "21398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emb Dental, LLC (Sudbury Dental Excellence)
• Enjc, Inc (Social Thinking Boston)
• Ennis Medical Supply Co LLC
• Margaret R Espinola, LICSW
• Erika Eynon Hicks, PT
• Danielle Ann Ferguson, NP
• Janyl Finnerty, RDN, LDN
• Steven C Fischer, PSY.D.
• Alyssa Rose Fishbein, DMD
• Karen Andrea Fisher, FNP-BC

• Physical Therapy Clinic/Center in Sudbury, MA
• Providers in Sudbury, 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 Nov 5, 2014; 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.