Active NPI
Taylor Hodgson
- Rehabilitation Clinic/Center
- Watertown, MA
National Provider Identifier
1831581875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- 3869
- Practice address
- 51 Water St
Watertown, MA 02472-4611 - Phone
- (617) 744-8300
- Fax
- (617) 744-6218
- NPI assigned
- Feb 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | 3869 | MA | Primary |
Addresses
Primary practice location
51 Water St
Watertown, MA 02472-4611
Mailing address
16 Prospect St
Taunton, MA 02780-3423
Phone (774) 406-7202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3869 | MA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424995200000",
"number": "1831581875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 PROSPECT ST",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027803423",
"telephone_number": "774-406-7202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 WATER ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024724611",
"telephone_number": "617-744-8300",
"fax_number": "617-744-6218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGSON",
"first_name": "TAYLOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-27",
"last_updated": "2015-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "MA",
"license": "3869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.