NPIMap

Organization Active NPI

The Spaulding Rehabilitation Hospital Corporation

Doing business as Spaulding Rehabilitation Hospital - Boston

  • Rehabilitation Hospital
  • Charlestown, MA
National Provider Identifier
1780600825
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
2321 Issued in MA
Legal business name
THE SPAULDING REHABILITATION HOSPITAL CORPORATION
Doing business as
Spaulding Rehabilitation Hospital - Boston
Practice address
300 1St Ave
Charlestown, MA 02129-3109
Phone
(617) 952-5000
NPI assigned
Jul 14, 2006
Last updated
Feb 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Samantha Desantis
Title
Executive Director Finance
Phone
(617) 952-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 2321 MA Primary

Addresses

Primary practice location

300 1St Ave
Charlestown, MA 02129-3109

Mailing address

300 1St Ave
Charlestown, MA 02129-3109
Phone (857) 282-0421

Other identifiers 14

IdentifierTypeStateIssuer
00030497OtherMANHP-AMBULANCE SVCS
806723OtherMAAMBULANCE SVCS-SEC HRZNS
1100203MedicaidMA
MAS2222203510OtherMABCBS-MA OUTPATIENT
1720732MedicaidMA
MAS2222203501OtherMABCBS-MA INPATIENT
903111OtherMATUFTS OUTPATIENT
702339OtherMAHPHC-AMBULANCE SVCS
800151OtherMATUFTS INPATIENT
900423OtherMAHPHC-INP&OUTPT
97277101OtherMANETWORK HEALTH-AMBULANCE
000000025461OtherMABOSTON HEALTH NET-AMBULAN
1202278MedicaidMA
101859OtherMABCBS-MA AMBULANCE SVCS

Other names 1

  • SPAULDING REHABILITATION HOSPITAL - BOSTON Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060914000406 MA Part A Provider - Hospital 7719981273 Practice locations: Lynn, MA; Marblehead, MA; Malden, MA; Medford, MA; Peabody, MA; Quincy, MA; Salem, MA; Wellesley, MA…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780600825. Details of each certification follow.

Hospital certification: CCN 223034

Legal name
THE SPAULDING REHABILITATION HOSPITAL CORPORATION
Doing business as
SPAULDING REHABILITATION HOSPITAL - BOSTON
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Jan 1, 1987
Last certification
Jan 1, 1987
Beds
132
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Aug 1, 1983 in MA
Enrollment address
300 1St Ave
Charlestown, MA 21293109
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Spaulding Rehabilitation HospitalCCN 223034 · All quality measures
Ownership
Non-profit
Certified
Jan 1, 1987
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Spaulding Rehabilitation Hospital Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 1st Ave
Rm 3262
Charlestown, MA 02129

22 Patriot Pl
Ste 120
Foxborough, MA 02035
Phone (857) 307-3202

570 Worcester Rd
Framingham, MA 01702
Phone (508) 532-4285

101 Main St
Ste 101
Medford, MA 02155
Phone (781) 391-7518

Interoperability endpoints

  • Direct secure messaging: baumann.taylor.srh@direct.partners.masshiway.net
  • Direct secure messaging: borgstrom.haylee.srh@direct.partners.masshiway.net
  • Direct secure messaging: bray.maryann.srh@direct.partners.masshiway.net
  • Direct secure messaging: carter.christopher.mgh@direct.partners.masshiway.net
  • Direct secure messaging: casella.tara.srh@direct.partners.masshiway.net
  • Direct secure messaging: cavan.kelly.srh@direct.partners.masshiway.net
  • Direct secure messaging: cefalo.philip.mgh@direct.partners.masshiway.net
  • Direct secure messaging: cheney.meredith.srh@direct.partners.masshiway.net
  • Direct secure messaging: cho.stephanie.mgh@direct.partners.masshiway.net
  • Direct secure messaging: cohen.stephanie.srh@direct.partners.masshiway.net
  • Direct secure messaging: connors.eric.srh@direct.partners.masshiway.net
  • Direct secure messaging: crandell.david.srh@direct.partners.masshiway.net
  • Direct secure messaging: crockett.zachary.srh@direct.partners.masshiway.net
  • Direct secure messaging: deluca.stephanie.srh@direct.partners.masshiway.net
  • Direct secure messaging: djamchebi.plamyenne.srh@direct.partners.masshiway.net
  • Direct secure messaging: druzba-lobsenz.irena.srh@direct.partners.masshiway.net
  • Direct secure messaging: ferrigno.bryan.srh@direct.partners.masshiway.net
  • Direct secure messaging: frankel.jason.srh@direct.partners.masshiway.net
  • Direct secure messaging: glenn.mel.mgh@direct.partners.masshiway.net
  • Direct secure messaging: good.amanda.srh@direct.partners.masshiway.net

Ownership & related parties

All disclosed owners & managing parties 26

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David B Fischer Individual Corporate DirectorTrustee Jan 16, 2019
Jonathon H Schwartz Individual Corporate DirectorAcmo - Trustee Sep 2, 2025
Samantha Desantis Individual Corporate DirectorSenior Director Finance Apr 22, 2024
W-2 Managing EmployeeSenior Director Finance Apr 22, 2024
Joseph P Kennedy Individual Corporate DirectorTrustee Jul 1, 2023
Linda J Sallop Individual Corporate DirectorTrustee Jul 20, 2022
Makeeba McCreary Individual Corporate DirectorTrustee Jul 1, 2023
Tevia K Pollard Individual Corporate DirectorTrustee Jul 1, 2023
Joanna Hazell Individual Corporate DirectorDirector, Provider Enrollment Jan 1, 2026
Monica L Baggio Tormey Individual Corporate OfficerChief Compliance Officer Jan 21, 2015
W-2 Managing EmployeeChief Compliance Officer Jan 21, 2015
Vicente Piedrahita Individual Corporate DirectorTrustee Jul 1, 2023
Robin G Jones Individual Corporate DirectorTrustee Jan 16, 2025
Mark Wheeler Individual Corporate DirectorBoard Trustee Sep 30, 2025
Melissa P Brennan Individual Corporate OfficerSecretary Mar 5, 2014
Matthew E Pullen Individual Corporate DirectorTrustee Jan 16, 2025
Vincent T McDermott Individual Corporate OfficerTreasurer Jun 25, 2025
Anne Klibanski Individual OtherPresident and Ceo Jun 25, 2019
Mass General Brigham Incorporated Organization, Boston, MA Corporation, Non-profit Operational/Managerial Control Mar 18, 1994
Daniel G Jones Individual Corporate DirectorTrustee Jan 26, 2016
David Silbersweig Individual Corporate DirectorTrustee Nov 8, 2017
Michael S Gee Individual Corporate DirectorTrustee Jan 18, 2024
Joseph F Ryan Individual Corporate DirectorTrustee Nov 8, 2017
Daniel Hamed Daneshvar Individual Corporate DirectorBoard Member - Trustee Mar 30, 2026
Ruel Gregory Jackson Individual Corporate OfficerPresident and Coo Oct 11, 2024
Donna M Luken Individual Corporate OfficerAssistant Secretary Jul 25, 2011
Paula N Speers Individual Corporate OfficerChair Jul 1, 2021
Ali S Raja Individual Corporate DirectorTrustee Sep 14, 2022

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 15

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 15

Practitioners & affiliated clinicians

Practitioners 90

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 90

Affiliated clinicians 1,161

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,161

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1780600825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 1ST AVE",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021293109",
            "telephone_number": "857-282-0421",
            "fax_number": "617-952-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 1ST AVE",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021293109",
            "telephone_number": "617-952-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPAULDING REHABILITATION HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "DESANTIS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR FINANCE",
        "authorized_official_telephone_number": "617-952-5000"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "MA",
            "license": "2321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP-AMBULANCE SVCS",
            "identifier": "00030497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULANCE SVCS-SEC HRZNS",
            "identifier": "806723",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1100203",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MA OUTPATIENT",
            "identifier": "MAS2222203510",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720732",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MA INPATIENT",
            "identifier": "MAS2222203501",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS OUTPATIENT",
            "identifier": "903111",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC-AMBULANCE SVCS",
            "identifier": "702339",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS INPATIENT",
            "identifier": "800151",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC-INP&OUTPT",
            "identifier": "900423",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH-AMBULANCE",
            "identifier": "97277101",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON HEALTH NET-AMBULAN",
            "identifier": "000000025461",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1202278",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MA AMBULANCE SVCS",
            "identifier": "101859",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SPAULDING REHABILITATION HOSPITAL - BOSTON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlestown, MA

Sources for this page

Verify at the official NPI Registry.