Family Physiatry PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

FAMILY PHYSIATRY PC

Practice address

3640 Main St Ste 204
Springfield, MA 01107-1139

Phone

(413) 224-6420

Fax

(413) 224-6421

NPI assigned

Aug 26, 2022

Organization subpart

No

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

Authorized official

Name

Paul Azimov, MDNPI 1447207139

Title

Owner

Phone

(413) 224-6420

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 2

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

• Paul Azimov, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Springfield, MA
  • NPI 1447207139
  Medicare reassignment NPD Authorized official
• Troy E Chilson, PAC

  • Physician Assistant
  • Northampton, MA
  • NPI 1376733956
  Medicare reassignment

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1720707243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST STE 204",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071139",
            "telephone_number": "413-224-6420",
            "fax_number": "413-224-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST STE 204",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071139",
            "telephone_number": "413-224-6420",
            "fax_number": "413-224-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "AZIMOV",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-224-6420",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Gould Falvey, PA-C
• Family Advocacy Center
• Family Care Medical Center Laboratory
• Family Care Physicial Therapy
• Family Eye Care Center
• Family Restoration Counseling Services
• Famleetransportation LLC
• Judith Fanelli, LMT
• Dawn A Faniel-Hall, MSW,LCSW
• Verba S Fanolis, MSW LICSW

• Physical Medicine & Rehabilitation Physician in Springfield, MA
• Providers in Springfield, 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 Dec 22, 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.