Organization Active NPI

Advanced Physical Thearpy Services Inc

  • Physical Therapist
  • Mattapan, MA
National Provider Identifier
1639298623
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ADVANCED PHYSICAL THEARPY SERVICES INC
Practice address
1651 Blue Hill Ave
2ND Floor
Mattapan, MA 02126-2109
Phone
(617) 296-3951
Fax
(617) 296-1036
NPI assigned
Mar 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Reuven Zaslavski
Title
President
Phone
(617) 277-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1651 Blue Hill Ave
2ND Floor
Mattapan, MA 02126-2109

Mailing address

PO Box 67373
Chestnut Hill, MA 02467-0004
Phone (617) 277-8400

Other identifiers 1

IdentifierTypeStateIssuer
9785698MedicaidMA

National Provider Directory

National Provider Directory

Locations

1651 Blue Hill Ave
Ste 2
Mattapan, MA 02126
Phone (617) 296-3951

Practitioners & affiliated clinicians

Practitioners 3

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639298623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67373",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024670004",
            "telephone_number": "617-277-8400",
            "fax_number": "617-277-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 BLUE HILL AVE",
            "address_2": "2ND FLOOR",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262109",
            "telephone_number": "617-296-3951",
            "fax_number": "617-296-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL THEARPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZASLAVSKI",
        "authorized_official_first_name": "REUVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-277-8400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9785698",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattapan, 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.