NPIMap

Organization Active NPI

Centre Street Rehabiilitation, Inc.

  • Rehabilitation Clinic/Center
  • Jamaica Plain, MA
National Provider Identifier
1760601983
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
187 Issued in MA
Legal business name
CENTRE STREET REHABIILITATION, INC.
Practice address
488 Centre St
Jamaica Plain, MA 02130-2057
Phone
(617) 522-8500
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lydia Shver
Title
Secretary and Treasurer
Phone
(617) 522-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 187 MA Primary

Addresses

Primary practice location

488 Centre St
Jamaica Plain, MA 02130-2057

Mailing address

488 Centre St
Jamaica Plain, MA 02130-2057
Phone (617) 522-8500

National Provider Directory

National Provider Directory

Locations

488 Centre St
Jamaica Plain, MA 02130
Phone (617) 522-8500

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760601983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 CENTRE ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302057",
            "telephone_number": "617-522-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 CENTRE ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302057",
            "telephone_number": "617-522-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE STREET REHABIILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHVER",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "SECRETARY AND TREASURER",
        "authorized_official_telephone_number": "617-522-8500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MA",
            "license": "187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.