Boston Therapy Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

10941 Issued in MA

Legal business name

BOSTON THERAPY INC

Practice address

50 Meridian St Ste 2
East Boston, MA 02128-3216

Phone

(617) 561-7246

Fax

(617) 561-7247

NPI assigned

Mar 4, 2009

Last updated

May 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Stevan Craig Simon, PT, MTNPI 1427274240

Title

Owner

Phone

(617) 561-7246

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, and the practitioner matching its NPPES authorized official.

• Stevan Simon, PT

  • Physical Therapist
  • East Boston, MA
  • NPI 1427274240
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1558501403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MERIDIAN ST STE 2",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021283216",
            "telephone_number": "617-561-7246",
            "fax_number": "617-561-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MERIDIAN ST STE 2",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021283216",
            "telephone_number": "617-561-7246",
            "fax_number": "617-561-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "STEVAN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-561-7246",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, MT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "10941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan K Boreri, MD
• Samantha Lillian Borrelli, CNP
• Boston Medical Center Corporation
• Boston Medical Center Corporation (East Boston Neighborhood Health Center)
• Boston Somatic Therapy
• Suzanne Marie Bradshaw, M.D.
• Mya J Brathwaite
• Leah H. Braun, MD
• Mary A Breen, NP
• Michael Alan Brendel, NP

• Specialist in East Boston, MA
• Providers in East Boston, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.