NPIMap

Organization Active NPI

Milton Chiropractic and Rehabilitation Inc

Doing business as Bay State Physical Therapy

  • Physical Therapist
  • Quincy, MA
National Provider Identifier
1669589065
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5835 Issued in MA
Legal business name
MILTON CHIROPRACTIC AND REHABILITATION INC
Doing business as
Bay State Physical Therapy
Practice address
111 Willard St
Suite 2a
Quincy, MA 02169-1200
Phone
(617) 471-4491
NPI assigned
Aug 23, 2006
Last updated
Aug 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Authorized official

Name
Dr. Steven Windwer, DC, PTNPI 1568484889
Title
Owner
Phone
(617) 471-4491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5835 MA Primary

Addresses

Primary practice location

111 Willard St
Suite 2a
Quincy, MA 02169-1200

Mailing address

111 Willard St
Suite 2a
Quincy, MA 02169-1200
Phone (617) 471-4491

Other identifiers 2

IdentifierTypeStateIssuer
735153OtherMATUFTS HEALTH PLAN
Y61012OtherMABCBSMA

Other names 1

  • Bay State Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

111 Willard St
Ste 2A
Quincy, MA 02169
Phone (617) 471-4491

111 Willard St
Ste Ga
Quincy, MA 02169
Phone (617) 471-4491

Practitioners & affiliated clinicians

Practitioners 6

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": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1669589065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WILLARD ST",
            "address_2": "SUITE 2A",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021691200",
            "telephone_number": "617-471-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WILLARD ST",
            "address_2": "SUITE 2A",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021691200",
            "telephone_number": "617-471-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILTON CHIROPRACTIC AND REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "WINDWER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-471-4491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PT5835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "735153",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "Y61012",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay State Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.