Moving Forward Physical Therapy Boston, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MOVING FORWARD PHYSICAL THERAPY BOSTON, INC

Practice address

612A Blue Hill Ave
Dorchester, MA 02121-3212

Phone

(617) 436-7246

Fax

(617) 436-7247

NPI assigned

Oct 15, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Denis Mezheritskiy

Title

Director

Phone

(617) 436-7246

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1740618560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612A BLUE HILL AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021213212",
            "telephone_number": "617-436-7246",
            "fax_number": "617-436-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612A BLUE HILL AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021213212",
            "telephone_number": "617-436-7246",
            "fax_number": "617-436-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVING FORWARD PHYSICAL THERAPY BOSTON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "MEZHERITSKIY",
        "authorized_official_first_name": "DENIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-436-7246",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Morton
• Maryanne Beth Moses
• Marcela Mota Aversa
• Elisabeth Joan Moths-Rebrovic, MD
• Marjan Mottaghi
• Alisa Rochelle Muhammad
• Fard Muhammad
• Destinee Mulcahy, MSCJ, LADCI
• Jenny Mullakary, PHARMD
• Shannon K Mullen, RN

• Physical Therapy Clinic/Center in Dorchester, MA
• Providers in Dorchester, 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 Oct 15, 2013; 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.