Organization Active NPI

Needham Physical Therapy Inc

  • Physical Therapist
  • Needham, MA
National Provider Identifier
1659465649
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NEEDHAM PHYSICAL THERAPY INC
Practice address
10 Oak St
Suite 2
Needham, MA 02492-2409
Phone
(781) 444-0345
Fax
(781) 444-6105
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
Denise A Bach, PT
Title
President
Phone
(781) 444-0345

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

10 Oak St
Suite 2
Needham, MA 02492-2409

Mailing address

10 Oak St
Suite 2
Needham, MA 02492-2409
Phone (781) 444-0345

Other identifiers 3

IdentifierTypeStateIssuer
605849OtherMAHARVARD PILGRIM HEALTH CA
9760652MedicaidMA
0000Y65620OtherMABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1410 Highland Ave
Ste 102
Needham, MA 02492
Phone (617) 444-0345

214 Garden St
Unit 6
Needham, MA 02492
Phone (781) 444-0345

10 Oak St
Ste 2
Needham, MA 02492
Phone (781) 444-0345

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1659465649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OAK ST",
            "address_2": "SUITE 2",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922409",
            "telephone_number": "781-444-0345",
            "fax_number": "781-444-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OAK ST",
            "address_2": "SUITE 2",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922409",
            "telephone_number": "781-444-0345",
            "fax_number": "781-444-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEEDHAM PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "BACH",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-444-0345",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "605849",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9760652",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000Y65620",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.