NPIMap

Organization Active NPI

Physical Therapy of Greater Mattapan PC

  • Physical Therapy Clinic/Center
  • Mattapan, MA
National Provider Identifier
1730496696
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSICAL THERAPY OF GREATER MATTAPAN PC
Practice address
1613 Blue Hill Ave
Suite 307
Mattapan, MA 02126-2123
Phone
(617) 783-5783
NPI assigned
Sep 13, 2010
Last updated
Dec 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Dr. Ferish Goldin, M.D.NPI 1174680581
Title
President
Phone
(617) 783-5783

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

1613 Blue Hill Ave
Suite 307
Mattapan, MA 02126-2123

Mailing address

1613 Blue Hill Avenue
Suite 307
Mattapan, MA 02126-2213
Phone (617) 783-5783

National Provider Directory

National Provider Directory

Locations

1613 Blue Hill Ave
Ste 307
Mattapan, MA 02126
Phone (617) 783-5783

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1730496696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 BLUE HILL AVENUE",
            "address_2": "SUITE 307",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262213",
            "telephone_number": "617-783-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 BLUE HILL AVE",
            "address_2": "SUITE 307",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262123",
            "telephone_number": "617-783-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY OF GREATER MATTAPAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "GOLDIN",
        "authorized_official_first_name": "FERISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-783-5783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattapan, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.