Allston Physical Medicine Center

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ALLSTON PHYSICAL MEDICINE CENTER

Practice address

39 Brighton Ave
Allston, MA 02134-2301

Phone

(617) 783-5783

Fax

(617) 783-1519

NPI assigned

Jun 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ruben Oganesov, M.D.

Title

President

Phone

(617) 783-5783

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609071786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BRIGHTON AVE",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021342301",
            "telephone_number": "617-783-5783",
            "fax_number": "617-783-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 BRIGHTON AVE",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021342301",
            "telephone_number": "617-783-5783",
            "fax_number": "617-783-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLSTON PHYSICAL MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OGANESOV",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-783-5783",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3057291",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• All at Home Health Care, LLC
• All at Home Health Care, LLC
• Maggie Rae Allphin
• Allston Adult Day Health, LLC
• Allston Family Dental
• Erin Joan Almstrom
• Patricia Alonso
• Laura E. Alvarado
• Rachel Lorena Alvarenga
• Antonio Francesco Alvarez

• Physical Therapist in Allston, MA
• Providers in Allston, MA by specialty
• Physical Therapist in Massachusetts

• 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.