Vina Physical Therapy, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

VINA PHYSICAL THERAPY, INC

Practice address

65 Bay State Dr
Braintree, MA 02184-5228

Phone

(617) 620-3296

NPI assigned

May 2, 2024

Organization subpart

No

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

Authorized official

Name

Vinh PhamNPI 1316148190

Title

President

Phone

(617) 620-3296

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vinh Q. Pham, PT

  • Physical Therapist
  • Braintree, MA
  • NPI 1316148190
  NPD Authorized official

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1801643317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 BEACHVIEW AVE",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021481935",
            "telephone_number": "617-620-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BAY STATE DR",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845228",
            "telephone_number": "617-620-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINA PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "VINH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-620-3296"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Braintree, MA
• Providers in Braintree, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.