Union Square Physical Therapy LLC.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

UNION SQUARE PHYSICAL THERAPY LLC.

Practice address

440 Somerville Ave
Somerville, MA 02143-3257

Phone

(860) 899-9652

NPI assigned

Aug 22, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Maegen Brady DeleoNPI 1932505948

Title

Owner

Phone

(860) 899-9652

Specialties & licenses 4

Addresses

Tax ID family

Medford Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Union Square Physical Therapy LLC.

  • Physical Therapist
  • Medford, MA
  • NPI 1144186065
  NPD tax ID

Practitioners 1

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

• Maegen Brady Deleo, DPT

  • Orthopedic Physical Therapist
  • Winthrop, MA
  • NPI 1932505948
  NPD Authorized official

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1831973734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 WICKLOW AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021552825",
            "telephone_number": "860-899-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SOMERVILLE AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433257",
            "telephone_number": "860-899-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION SQUARE PHYSICAL THERAPY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "DELEO",
        "authorized_official_first_name": "MAEGEN",
        "authorized_official_middle_name": "BRADY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-899-9652",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Somerville, MA
• Providers in Somerville, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.