Oceanside Physical Therapy and Wellness Center Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OCEANSIDE PHYSICAL THERAPY AND WELLNESS CENTER INC.

Doing business as

oceanside physical therapy and wellness center inc

Practice address

364 Ocean Ave Ste C-102
Revere, MA 02151-2629

Phone

(617) 549-7921

NPI assigned

Jan 21, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Ann Maclauchlan, PT

Title

Owner

Phone

(617) 549-7921

Specialties & licenses 1

Addresses

Other names 2

• oceanside physical therapy and wellness center inc Doing business as
• none Other name

Locations

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1649800442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RED FOX RD",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871569",
            "telephone_number": "617-549-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 OCEAN AVE STE C-102",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021512629",
            "telephone_number": "617-549-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE PHYSICAL THERAPY AND WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "MACLAUCHLAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-549-7921",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "oceanside physical therapy and wellness center inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie Maire Nunes, FNP-BC
• Angela Nunez, LMHC
• NVR & SDD Convenient Care LLC
• NVR & SDD Convenient Care PC
• Ashley Estelle O'Hearn, PSY.D.
• Olufemi A Oguntolu, D.M.D.
• Jacqueline Atieno Oguok
• Kerstin Amy Oh, MD
• Miriam Nelson Oliver, MSW, LICSW, LMT
• Laura J Olson, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.