Active NPI
George Matthew Damaa, PT, DPT
- Physical Therapist
- Boston, MA
National Provider Identifier
1851130108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27578
- Practice address
- 70 Francis St FL 1
Boston, MA 02115-6134 - Phone
- (617) 732-5304
- NPI assigned
- May 24, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27578 | MA | Primary |
Addresses
Primary practice location
70 Francis St FL 1
Boston, MA 02115-6134
Mailing address
6 Headland Way
Medford, MA 02155-1510
Phone (617) 818-0364
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 |
|---|---|---|---|
| 27578 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1851130108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 HEADLAND WAY",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021551510",
"telephone_number": "617-818-0364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 FRANCIS ST FL 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156134",
"telephone_number": "617-732-5304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMAA",
"first_name": "GEORGE",
"middle_name": "MATTHEW",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-24",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "27578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.