NPIMap

Organization Active NPI

FS Patriot LLC

  • Rehabilitation Hospital
  • Braintree, MA
National Provider Identifier
1821213752
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
FS PATRIOT LLC
Practice address
250 Pond St
Braintree, MA 02184-5351
Phone
(781) 348-2500
Fax
(781) 348-2494
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Randy Doherty
Title
Ceo
Phone
(781) 348-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

250 Pond St
Braintree, MA 02184-5351

Mailing address

250 Pond St
Braintree, MA 02184-5351
Phone (781) 348-2500

Other identifiers 2

IdentifierTypeStateIssuer
1200101MedicaidMA
1101901MedicaidMA

Other names 1

  • Braintree Rehabilitation Hospital Doing business as

National Provider Directory

National Provider Directory

Locations

448 Common St
Belmont, MA 02478
Phone (617) 492-6036

100 Bay State Dr
Ste 1
Braintree, MA 02184
Phone (781) 356-0520

500 Belmont St
Ste 130
Brockton, MA 02301
Phone (508) 586-6391

73 Huttleston Ave
Fairhaven, MA 02719
Phone (508) 990-0606

325 Ayer Rd
Harvard, MA 01451
Phone (978) 772-2282

50 Salem St
Bldg A
Lynnfield, MA 01940
Phone (781) 246-2211

25 Birch St
Milford, MA 01757
Phone (508) 478-5775

67 Union St
Fl 4
Natick, MA 01760
Phone (508) 650-7690

65 Cordage Park Cir
Ste 105
Plymouth, MA 02360
Phone (508) 747-4720

700 S Main St
Sharon, MA 02067
Phone (781) 784-0920

15 Winter Ct
Weymouth, MA 02188
Phone (781) 331-0690

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821213752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 POND ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845351",
            "telephone_number": "781-348-2500",
            "fax_number": "781-348-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 POND ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845351",
            "telephone_number": "781-348-2500",
            "fax_number": "781-348-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FS PATRIOT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOHERTY",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-348-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1200101",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1101901",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Braintree Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.