Probody Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

16357 Issued in MA

Legal business name

PROBODY PHYSICAL THERAPY, LLC

Practice address

265 Medford St
Suite 303
Somerville, MA 02143-1963

Phone

(617) 331-3163

NPI assigned

Jul 1, 2012

Organization subpart

Yes

Parent organization

PROBODY PHYSICAL THERAPY, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Paola Jaar, DPTNPI 1932406535

Title

DPT/Owner

Phone

(617) 331-3163

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ProBody Physical Therapy, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Part of

Probody Physical Therapy LLC

Locations

Practitioners 1

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

• Paola Jaar, DPT

  • Physical Therapist
  • Somerville, MA
  • NPI 1932406535
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1710241088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 MEDFORD ST",
            "address_2": "SUITE 303",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021431963",
            "telephone_number": "617-331-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 MEDFORD ST",
            "address_2": "SUITE 303",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021431963",
            "telephone_number": "617-331-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROBODY PHYSICAL THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROBODY PHYSICAL THERAPY, LLC",
        "enumeration_date": "2012-07-01",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "JAAR",
        "authorized_official_first_name": "PAOLA",
        "authorized_official_title_or_position": "DPT/OWNER",
        "authorized_official_telephone_number": "617-331-3163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "16357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0322377",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER IDENIFICATION NUMBER",
            "identifier": "JA Y69549",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProBody Physical Therapy, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Allison K Prata
• Judith Frances Prebluda, MA LMHC
• Paige Francesca Prefer, LCSW
• Margaret McArevey Pricejones
• Eva Pricop
• Rolanda Santos Prophete, LICSW
• Prospect Hill Academy Charter School
• Danielle M Providakes
• Shakira M Puello, LICSW
• Julie M Puncochar, M.D.

• Physical Therapy Clinic/Center in Somerville, MA
• Providers in Somerville, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.