NPIMap

Organization Active NPI

Excel Physical Therapy & Rehabilitation LLC

  • Physical Therapist
  • Marlborough, MA
National Provider Identifier
1558637371
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16359 Issued in MA
Legal business name
EXCEL PHYSICAL THERAPY & REHABILITATION LLC
Practice address
320 Bolton St
Suite- G2
Marlborough, MA 01752-3988
Phone
(508) 624-0431
NPI assigned
Mar 26, 2012
Last updated
Mar 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Authorized official

Name
Anupa Joboy JacobNPI 1912060021
Title
Physical Therapist
Phone
(508) 320-0125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16359 MA Primary

Addresses

Primary practice location

320 Bolton St
Suite- G2
Marlborough, MA 01752-3988

Mailing address

320 Bolton St
Suite- G2
Marlborough, MA 01752-3988
Phone (508) 624-0431

National Provider Directory

National Provider Directory

Locations

320 Bolton St
Ofc G2
Marlborough, MA 01752
Phone (508) 624-0431

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1558637371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BOLTON ST",
            "address_2": "SUITE- G2",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523988",
            "telephone_number": "508-624-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BOLTON ST",
            "address_2": "SUITE- G2",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523988",
            "telephone_number": "508-624-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PHYSICAL THERAPY & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "ANUPA",
        "authorized_official_middle_name": "JOBOY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "508-320-0125"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "16359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.