Vital Rehab Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

VITAL REHAB PHYSICAL THERAPY

Practice address

1373 Highland St
Holliston, MA 01746-2627

Phone

(781) 290-7430

NPI assigned

Mar 27, 2023

Organization subpart

Yes

Parent organization

VITAL REHAB PHYSICAL THERAPYAs reported in NPPES

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

Authorized official

Name

Martin Conserva, DPTNPI 1467037077

Title

Owner

Phone

(781) 290-7430

Specialties & licenses 1

Addresses

Part of

Vital Rehab Physical Therapy

Practitioners 1

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

• Martin Conserva, DPT

  • Physical Therapist
  • Holliston, MA
  • NPI 1467037077
  NPD Authorized official

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1760185805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1373 HIGHLAND ST",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017462627",
            "telephone_number": "781-290-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 HIGHLAND ST",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017462627",
            "telephone_number": "781-290-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL REHAB PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VITAL REHAB PHYSICAL THERAPY",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-26",
        "status": "A",
        "authorized_official_last_name": "CONSERVA",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-290-7430",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Town of Holliston
• Town of Holliston
• Andrea Bettacchi Urban, MD
• Rachel A Vespole, M.D.
• Maegan Alexa Garvey Visconti, LMHC, BC-DMT
• Jessica Dispena Walter, DMD
• Wellness Health Choice, LLC
• Veralyn Clare Werner, SLP
• Andrea Marie Williams, B.C.B.A.
• Nicholas Wong

• Physical Therapy Clinic/Center in Holliston, MA
• Providers in Holliston, 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 Mar 27, 2023; 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.