Lahey Clinic, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2778 Issued in MA

Legal business name

LAHEY CLINIC, INC.

Practice address

16 Hayden Ave
Lexington, MA 02421-7929

Phone

(781) 372-7000

NPI assigned

Jul 18, 2006

Organization subpart

Yes

Parent organization

BETH ISRAEL LAHEY HEALTH INCAs reported in NPPES

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

Authorized official

Name

Susan D Moffatt-Bruce, MD

Title

President

Phone

(781) 744-8594

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1649299157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MALL RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018050001",
            "telephone_number": "781-744-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HAYDEN AVE",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217929",
            "telephone_number": "781-372-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAHEY CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BETH ISRAEL LAHEY HEALTH INC",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "MOFFATT-BRUCE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-744-8594",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "2778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9770585",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9729097",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Jennifer Kurland, LICSW
• Eun Ji Kwon, M.D.
• Kimberlee Kyslowsky, LCSW
• Eduardo K Lacson Jr., M.D., M.P.H.
• Christine Marie Lafleur, MS, CCC-SLP
• Susan E Lalone, MS PT
• Emily Lamba, OTR/L
• Jennifer Lambe, MD
• Eli Lamberson, DPT
• Kathleen Lambert, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.