NPIMap

Organization Active NPI

In Home Physical Therapy of Boston PLLC

  • Physical Therapy Clinic/Center
  • Chestnut Hill, MA
National Provider Identifier
1780107342
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
IN HOME PHYSICAL THERAPY OF BOSTON PLLC
Practice address
501 Heath St
Chestnut Hill, MA 02467-2351
Phone
(347) 947-3132
Fax
(947) 438-2942
NPI assigned
Jul 25, 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
Susan LoberfeldNPI 1518046309
Title
Partner
Phone
(617) 209-3306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

501 Heath St
Chestnut Hill, MA 02467-2351

Mailing address

3801 N 40TH Ave
Hollywood, FL 33021-1860
Phone (617) 209-3066

Other names 1

  • In Home Rehab of Boston Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170927000883 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0547534711 Receives reassigned benefits from 5 practitioners
Practice locations: Chestnut Hill, MA

National Provider Directory

National Provider Directory

Locations

501 Heath St
Chestnut Hill, MA 02467
Phone (617) 209-3066

Practitioners & affiliated clinicians

Practitioners 5

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": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780107342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 N 40TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211860",
            "telephone_number": "617-209-3066",
            "fax_number": "617-209-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HEATH ST",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672351",
            "telephone_number": "347-947-3132",
            "fax_number": "947-438-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOME PHYSICAL THERAPY OF BOSTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LOBERFELD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "617-209-3306"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In Home Rehab of Boston",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "In Home Rehab of Boston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chestnut Hill, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.