Momentum Rehab Consultants, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

MOMENTUM REHAB CONSULTANTS, LLC

Practice address

145 Ward Hill Ave
Bradford, MA 01835-5896

Phone

(978) 372-8000

NPI assigned

Jun 11, 2022

Last updated

Oct 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Vishnevetsky Lin, MDNPI 1487017752

Title

Founder and Ceo

Phone

(718) 666-7990

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

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.

• Michael Vishnevetsky Lin, MD

  • Physical Medicine & Rehabilitation Physician
  • Schenectady, NY
  • NPI 1487017752

  MA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1654905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1689304834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WOOD LN",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017204529",
            "telephone_number": "718-666-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 WARD HILL AVE",
            "city": "BRADFORD",
            "state": "MA",
            "postal_code": "018355896",
            "telephone_number": "978-372-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Wood Ln",
            "address_purpose": "LOCATION",
            "city": "Acton",
            "state": "MA",
            "postal_code": "017204529",
            "country_code": "US",
            "telephone_number": "718-666-7990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOMENTUM REHAB CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-11",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "VISHNEVETSKY",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "718-666-7990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Michael Lane, COTA/L
• Paul Anthony Liguori, M.D.
• George Lubowa, LPN
• Margaret Mary Hunt, DO, PC
• Beth Marik, LMT, BCTMB
• Mugavero Chiropractic, PC
• Richard A Mugavero, D.C.
• Malcolm J Murdoch, M.D.
• Malcolm Anthony Murphy, ED.M,MSW.LICSW
• Erone Naddamba

• Physical Medicine & Rehabilitation Physician in Bradford, MA
• Providers in Bradford, MA by specialty
• Physical Medicine & Rehabilitation Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.