Spine and Sports Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

10934 Issued in MA

Legal business name

SPINE AND SPORTS PHYSICAL THERAPY LLC

Practice address

150 Rumford Ave Apt 404
Mansfield, MA 02048-2150

Phone

(617) 970-7881

NPI assigned

Nov 16, 2007

Last updated

Nov 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen F Nestor III, DPT, COMT

Title

Physical Therapist/Owner

Phone

(617) 970-7881

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1841471976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 RUMFORD AVE APT 404",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482150",
            "telephone_number": "617-970-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 RUMFORD AVE APT 404",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482150",
            "telephone_number": "617-970-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND SPORTS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "NESTOR III",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "617-970-7881",
        "authorized_official_credential": "DPT, COMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "10934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Anne Smith, DMD
• Soundminds Psychiatry LLC (Soundminds Psychiatry)
• Steven A. Sousa, D.M.D.
• Melissa Morgan Southworth, LICSW
• Spine & Sport Rehab Center LLC
• Donna Margaret Stetson, LMHC
• Margaret Mary Stolarczuk, O.D.
• Sturdy Health, Inc.
• Adina Swan, LMHC
• Marisa B Swiatek, DMD, MSD

• Physical Therapy Clinic/Center in Mansfield, MA
• Providers in Mansfield, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.