Stil Legacy Dedham

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17584 Issued in MA

Legal business name

STIL LEGACY DEDHAM

Doing business as

Stil Studio

Practice address

227 Legacy Place
Dedham, MA 02026

Phone

(781) 407-9642

NPI assigned

Apr 26, 2017

Last updated

Apr 26, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Betty Riaz

Title

Business Owner

Phone

(781) 407-9642

Specialties & licenses 1

Addresses

Other names 1

• Stil Studio Doing business as

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1740715846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 LEGACY PLACE",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "02026",
            "telephone_number": "781-407-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 LEGACY PLACE",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "02026",
            "telephone_number": "781-407-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STIL LEGACY DEDHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "RIAZ",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "781-407-9642"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stil Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Dedham, MA
• Providers in Dedham, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.