ENT Specialists, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ENT SPECIALISTS, INC

Doing business as

FYZICAL Dizziness & Fall Prevention Centers

Practice address

188 Washington St Ste 3
Plainville, MA 02762-1320

Phone

(508) 588-8034

Fax

(508) 558-5969

NPI assigned

Sep 7, 2019

Last updated

Sep 10, 2019By 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

Russell S ShuNPI 1134134422

Title

Principal Physician

Phone

(508) 588-8034

Specialties & licenses 1

Addresses

Other names 1

• FYZICAL Dizziness & Fall Prevention Centers Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russell S Shu, M.D.

  • Otolaryngology Physician
  • Brockton, MA
  • NPI 1134134422
  NPD Authorized official

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

{
    "created_epoch": "1567814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1841849387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PEARL ST STE 100",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012866",
            "telephone_number": "781-769-8910",
            "fax_number": "781-255-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 WASHINGTON ST STE 3",
            "city": "PLAINVILLE",
            "state": "MA",
            "postal_code": "027621320",
            "telephone_number": "508-588-8034",
            "fax_number": "508-558-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-07",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "SHU",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRINCIPAL PHYSICIAN",
        "authorized_official_telephone_number": "508-588-8034"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Dizziness & Fall Prevention Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.