Active NPI
Schaeffer Physical Therapy and Sports Medicine Associates, Inc
- Specialist
- Wellesley Hills, MA
National Provider Identifier
1831306281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4729
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edward George Schaeffer
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Wellesley Hills, MA
- NPI 1902957186
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.