Organization Active NPI

Schaeffer Physical Therapy and Sports Medicine Associates, Inc

  • Specialist
  • Wellesley Hills, MA
National Provider Identifier
1831306281
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4729 Issued in MA
Legal business name
SCHAEFFER PHYSICAL THERAPY AND SPORTS MEDICINE ASSOCIATES, INC
Practice address
18 Priscilla Cir
Wellesley Hills, MA 02481-5311
Phone
(508) 376-2100
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Mr. Edward George SchaefferNPI 1902957186
Title
President
Phone
(508) 528-3240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 4729 MA Primary

Addresses

Primary practice location

18 Priscilla Cir
Wellesley Hills, MA 02481-5311

Mailing address

PO Box 88
Medfield, MA 02052-0088
Phone (508) 376-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071128000148 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5193814259 Receives reassigned benefits from 1 practitioner
Practice locations: Wellesley, MA

National Provider Directory

National Provider Directory

Locations

969 Main St
Unit 2
Millis, MA 02054
Phone (508) 376-2100

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1831306281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020520088",
            "telephone_number": "508-376-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 PRISCILLA CIR",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024815311",
            "telephone_number": "508-376-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHAEFFER PHYSICAL THERAPY AND SPORTS MEDICINE ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "SCHAEFFER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-528-3240",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "4729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley Hills, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.