Bay Shore Physical Therapy

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

18475 Issued in MA

Legal business name

BAY SHORE PHYSICAL THERAPY

Practice address

14 Plain St
Braintree, MA 02184-7032

Phone

(617) 201-7820

NPI assigned

Mar 3, 2013

Last updated

Aug 12, 2013By 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

Mr. Matthew Neal, PTNPI 1619121860

Title

Owner/Physical Therapist

Phone

(617) 201-7820

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

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.

• Matthew David Neal, DPT

  • Physical Therapist
  • Braintree, MA
  • NPI 1619121860
  Medicare reassignment Authorized official
• Christopher Olivieri, DC

  • Chiropractor
  • Cohasset, MA
  • NPI 1124195300
  NPD (past)

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

{
    "created_epoch": "1362268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1689915571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PLAIN ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021847032",
            "telephone_number": "617-201-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PLAIN ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021847032",
            "telephone_number": "617-201-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY SHORE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-03",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "617-201-7820",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MA",
            "license": "18475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Barsky, MSW
• Fritz G Barthelemy
• Angela Bassett
• Caitlin Bast, DNP
• Sara Bastin
• Bayada Home Health Care, Inc.
• Habibatu M Bayoh
• Caitlin Beals
• Gail A Bean, NP
• Molly E Bean

• Rehabilitation Clinic/Center in Braintree, MA
• Providers in Braintree, MA by specialty
• Rehabilitation Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.