Performing Arts Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PERFORMING ARTS PHYSICAL THERAPY PC

Practice address

1093 Beacon St
Basement Suite
Brookline, MA 02446

Phone

(617) 277-1500

Fax

(617) 277-1503

NPI assigned

Feb 2, 2006

Organization subpart

No

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

Authorized official

Name

Regina Campbell

Title

PT Owner

Phone

(617) 277-1500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Roncka, MSPT

  • Physical Therapist
  • Brookline, MA
  • NPI 1306816202
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649242884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MAYFLOWER RD",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "01890",
            "telephone_number": "617-277-1500",
            "fax_number": "617-277-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 BEACON ST",
            "address_2": "BASEMENT SUITE",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02446",
            "telephone_number": "617-277-1500",
            "fax_number": "617-277-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMING ARTS PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "PT OWNER",
        "authorized_official_telephone_number": "617-277-1500"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y61406",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Si-Liang Peng
• Siyu Peng
• Ava Bry Penman
• Maya Peretzman, PH.D
• Sandy Perez, DMD
• Periscope, LLC
• Bobbi Perkins, LMHC
• Yael Perl Hadanny, MD
• Daniel Robert Perl, M.D.
• Rivka Y. Perlmann, PH.D.

• Physical Therapy Clinic/Center in Brookline, MA
• Providers in Brookline, MA by specialty
• Physical Therapy Clinic/Center 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.