Baby to Boomer Therapies, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

9620 Issued in MA

Legal business name

BABY TO BOOMER THERAPIES, LLC

Practice address

20 North Rd
Bedford, MA 01730-1057

Phone

(347) 307-0249

NPI assigned

Feb 19, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Fay M Burgess Backert, OTR/L

Title

Owner

Phone

(347) 307-0249

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1851783419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 MASSACHUSETTS AVE",
            "address_2": "UNITE 237",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024202020",
            "telephone_number": "347-307-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NORTH RD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301057",
            "telephone_number": "347-307-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABY TO BOOMER THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "BURGESS BACKERT",
        "authorized_official_first_name": "FAY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-307-0249",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "9620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Asemota
• Wasseem Attar, DDS, DMD
• Caitlin Malboeuf Aubuchon, LICSW
• Pamela M Ayotte, CTRS/L
• Holly Babineau
• Amy Elaine Rzeznikiewicz Bachand, PH.D.
• Emese Badics
• John Kevin Baer, DC
• William Christopher Baerthlein, LICSW
• Elizabeth Ann Bain

• All providers in Bedford, MA
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.