Organization Active NPI

Holistic Health Management, Inc

Doing business as Longfellow Health Center

  • Physical Therapist
  • Wayland, MA
National Provider Identifier
1861631772
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HOLISTIC HEALTH MANAGEMENT, INC
Doing business as
Longfellow Health Center
Practice address
524 Boston Post Rd
Wayland, MA 01778-1833
Phone
(508) 358-4900
Fax
(508) 358-3525
NPI assigned
Feb 17, 2009
Last updated
Feb 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Authorized official

Name
Dr. Kenneth Bruce Hazirjian, D.C.
Title
President/Director
Phone
(508) 358-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

524 Boston Post Rd
Wayland, MA 01778-1833

Mailing address

524 Boston Post Rd
Wayland, MA 01778-1833
Phone (508) 358-4900

Other names 1

  • Longfellow Health Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1861631772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 BOSTON POST RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017781833",
            "telephone_number": "508-358-4900",
            "fax_number": "508-358-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 BOSTON POST RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017781833",
            "telephone_number": "508-358-4900",
            "fax_number": "508-358-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HEALTH MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "HAZIRJIAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "508-358-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longfellow Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wayland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.