North South Physical Therapy

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

122 Issued in MA

Legal business name

NORTH SOUTH PHYSICAL THERAPY

Practice address

4593 Washington St
Roslindale, MA 02131-4844

Phone

(617) 327-9097

Fax

(617) 327-4307

NPI assigned

Jun 23, 2009

Organization subpart

No

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

Authorized official

Name

Miss Philip Joseph Garofalo, PTA

Title

Owner/Director

Phone

(617) 327-9097

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Washington Physical Therapy Doing business as

Tax ID family

Main Street Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• North South Physical Therapy, Inc

  • Orthopedic Physical Therapist
  • Brockton, MA
  • NPI 1578791042
  NPD tax ID

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1801024385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4593 WASHINGTON ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021314844",
            "telephone_number": "617-327-9097",
            "fax_number": "617-327-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4593 WASHINGTON ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021314844",
            "telephone_number": "617-327-9097",
            "fax_number": "617-327-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SOUTH PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "GAROFALO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "617-327-9097",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "122",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y61200",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9786082",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0029723",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7380356",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH INSURANCE",
            "identifier": "AA9360",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Ellen Nixon, LMHC
• Camilla Nocerino, MFT
• Heejin Noh, MS
• Kathleen A. Nopper, MSN, APRN, FNP-C
• North Shore Rehabilitation Services LLC
• Michelle Novelle, LICSW, PHD
• Emalie Novick, MA
• Debra Nowak, PT
• Adam Fay O'Brien
• Stefanie T. O'Brien, LCSW

• Orthopedic Physical Therapist in Roslindale, MA
• Providers in Roslindale, MA by specialty
• Orthopedic Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.