Organization Active NPI

East Boston Physical Therapy Center, Inc.

  • Physical Therapist
  • East Boston, MA
National Provider Identifier
1760906911
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20044 Issued in MA
Legal business name
EAST BOSTON PHYSICAL THERAPY CENTER, INC.
Practice address
999 Saratoga St Ste 3
East Boston, MA 02128-1238
Phone
(617) 418-5211
Fax
(617) 418-5377
NPI assigned
Jul 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Alla Amitan
Title
Owner
Phone
(617) 212-9211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 20044 MA Primary

Addresses

Primary practice location

999 Saratoga St Ste 3
East Boston, MA 02128-1238

Mailing address

999 Saratoga St Ste 3
East Boston, MA 02128-1238
Phone (617) 418-5211

National Provider Directory

National Provider Directory

Locations

999 Saratoga St
Ste 3
East Boston, MA 02128
Phone (617) 418-5211

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760906911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 SARATOGA ST STE 3",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281238",
            "telephone_number": "617-418-5211",
            "fax_number": "617-418-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 SARATOGA ST STE 3",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281238",
            "telephone_number": "617-418-5211",
            "fax_number": "617-418-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BOSTON PHYSICAL THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AMITAN",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-212-9211"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.