Stroke and Brain Injury Rehabiltation, Inc.

Primary specialty

Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X

License

78395 Issued in MA

Legal business name

STROKE AND BRAIN INJURY REHABILTATION, INC.

Practice address

2 Rehabilitation Way
Woburn, MA 01801-6003

Phone

(781) 939-1886

Fax

(781) 933-9257

NPI assigned

Feb 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Raymond M Villalobos, M.D.

Title

President

Phone

(508) 842-3935

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1689948564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 SOUTH ST",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015455402",
            "telephone_number": "508-842-3935",
            "fax_number": "508-842-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 REHABILITATION WAY",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016003",
            "telephone_number": "781-939-1886",
            "fax_number": "781-933-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STROKE AND BRAIN INJURY REHABILTATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "VILLALOBOS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-842-3935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "MA",
            "license": "78395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3175839",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Stockbridge, LICSW
• Anna K Stoebel
• Laura D. Stone, PSY.D.
• Karen M Strem, MSW
• Allison Stringer, RPT
• Hailey Joanne Stuhlmiller
• Theresa Vera Styffe
• Lucy Su
• Emma Sullivan
• Hannah Lee Sullivan

• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Woburn, MA
• Providers in Woburn, MA by specialty
• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.