Organization Active NPI

Everett Rehabilitation Services LLC

  • Orthopedic Physical Therapist
  • Everett, MA
National Provider Identifier
1548463581
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
301 Issued in MA
Legal business name
EVERETT REHABILITATION SERVICES LLC
Practice address
563 Broadway
Everett, MA 02149-3749
Phone
(617) 389-0359
Fax
(617) 389-4031
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Carpinito, P.T.NPI 1235356676
Title
Owner Therapist
Phone
(617) 389-0359

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
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 301 MA Primary

Addresses

Primary practice location

563 Broadway
Everett, MA 02149-3749

Mailing address

PO Box 490953
Everett, MA 02149-0016
Phone (617) 389-0359

Other identifiers 1

IdentifierTypeStateIssuer
Y61295OtherMABLUE CROSS

National Provider Directory

National Provider Directory

Locations

563 Broadway
Everett, MA 02149
Phone (617) 389-0359

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548463581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490953",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021490016",
            "telephone_number": "617-389-0359",
            "fax_number": "617-389-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 BROADWAY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493749",
            "telephone_number": "617-389-0359",
            "fax_number": "617-389-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERETT REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARPINITO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER THERAPIST",
        "authorized_official_telephone_number": "617-389-0359",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "Y61295",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.