Charles Anthony Inniss Jr., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15232 Issued in MA

Practice address

654 Beacon St
Boston, MA 02215-2099

Phone

(617) 536-1161

NPI assigned

Mar 6, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eric J Roseen DC LLC

  • Chiropractor
  • Boston, MA
  • NPI 1174992101
  NPD (past)
• Greendale Physical Therapy, LLC

  • Physical Therapist
  • Shrewsbury, MA
  • NPI 1053316182
  NPD (past)
• Joint Ventures Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Boston, MA
  • NPI 1083667901

  Physical Therapist

  NPD (past)
• Joint Ventures Physical Therapy, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Cambridge, MA
  • NPI 1972149805
  NPD (past)

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1790925527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 BEACON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152099",
            "telephone_number": "617-536-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 BEACON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152099",
            "telephone_number": "617-536-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INNISS",
        "first_name": "CHARLES",
        "middle_name": "ANTHONY",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "15232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inkyu Han, DMD, PLLC
• Daniel Charles Innamorato
• Inner Panda Counseling and Wellness LLC
• Innerbloom Health, P.C.
• Innergy Counseling PLLC
• Donovan Alexander Inniss
• Rachelle Innocent
• Innovamind Psychiatry PLLC
• Innovative Behavioral Health, LLC
• Natalie Rie Inoue, DDS

• Physical Therapist in Boston, MA
• Providers in Boston, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.