Active NPI
Victory Physical Therapy, Inc.
- Physical Therapy Clinic/Center
- Brighton, MA
National Provider Identifier
1588890453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- VICTORY PHYSICAL THERAPY, INC.
- Practice address
- 35 Soldiers Field PL
Brighton, MA 02135-1103 - Phone
- (617) 549-2640
- NPI assigned
- Jun 5, 2009
- 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
- Victoria Luzarraga, P.T.
- Title
- President
- Phone
- (617) 549-2640
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
35 Soldiers Field PL
Brighton, MA 02135-1103
Mailing address
10 Country Corners Rd
Wayland, MA 01778-3606
Phone (617) 549-2640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011232 | Other | MA | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Occupational Therapist
- Brighton, MA
- NPI 1114290913
-
- Optician
- Brookline, MA
- NPI 1154748978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436918400000",
"number": "1588890453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 COUNTRY CORNERS RD",
"city": "WAYLAND",
"state": "MA",
"postal_code": "017783606",
"telephone_number": "617-549-2640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 SOLDIERS FIELD PL",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021351103",
"telephone_number": "617-549-2640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORY PHYSICAL THERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-05",
"last_updated": "2015-07-15",
"status": "A",
"authorized_official_last_name": "LUZARRAGA",
"authorized_official_first_name": "VICTORIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-549-2640",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "0011232",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.