Organization Active NPI

Central Street Physical Therapy LTD

  • Physical Therapist
  • Saugus, MA
National Provider Identifier
1821757238
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CENTRAL STREET PHYSICAL THERAPY LTD
Practice address
194 Central St
Saugus, MA 01906-2107
Phone
(310) 210-1233
Fax
(781) 233-0959
NPI assigned
Dec 13, 2021
Last updated
Dec 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Authorized official

Name
Ms. Stacy Goldberg
Title
Owner
Phone
(781) 231-3475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

194 Central St
Saugus, MA 01906-2107

Mailing address

194 Central St
Saugus, MA 01906-2107
Phone (310) 210-1233

National Provider Directory

National Provider Directory

Locations

194 Central St
Saugus, MA 01906
Phone (781) 231-3475

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1821757238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 CENTRAL ST",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019062107",
            "telephone_number": "310-210-1233",
            "fax_number": "781-233-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 CENTRAL ST",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019062107",
            "telephone_number": "310-210-1233",
            "fax_number": "781-233-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL STREET PHYSICAL THERAPY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-231-3475",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugus, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.