Organization Active NPI

Personal Best Physical Therapy of Norfolk LLC

  • Physical Therapist
  • Norfolk, MA
National Provider Identifier
1780196980
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22262 Issued in MA
Legal business name
PERSONAL BEST PHYSICAL THERAPY OF NORFOLK LLC
Practice address
65 Holbrook St Ste 130
Norfolk, MA 02056-1849
Phone
(774) 565-0796
Fax
(774) 565-8346
NPI assigned
Oct 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Kathryn Titcomb, PA-C
Title
Owner
Phone
(508) 530-4970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 22262 MA Primary

Addresses

Primary practice location

65 Holbrook St Ste 130
Norfolk, MA 02056-1849

Mailing address

65 Holbrook St Ste 130
Norfolk, MA 02056-1849
Phone (774) 565-0796

National Provider Directory

National Provider Directory

Locations

65 Holbrook St
Ste 130
Norfolk, MA 02056
Phone (508) 530-4970

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": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1780196980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 HOLBROOK ST STE 130",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561849",
            "telephone_number": "774-565-0796",
            "fax_number": "774-565-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 HOLBROOK ST STE 130",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561849",
            "telephone_number": "774-565-0796",
            "fax_number": "774-565-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL BEST PHYSICAL THERAPY OF NORFOLK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-27",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "TITCOMB",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-530-4970",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.