Organization Active NPI

East Boston Family Wellness Center, Inc.

  • Physical Therapy Clinic/Center
  • East Boston, MA
National Provider Identifier
1871130153
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
EAST BOSTON FAMILY WELLNESS CENTER, INC.
Practice address
999 Saratoga St Ste 3
East Boston, MA 02128-1238
Phone
(617) 633-5221
NPI assigned
Dec 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Authorized official

Name
Ms. Stella Kagramanian
Title
President
Phone
(617) 633-5221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

999 Saratoga St Ste 3
East Boston, MA 02128-1238

Mailing address

274 Dedham St
Newton Highlands, MA 02461-2045
Phone (617) 633-5221

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1871130153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 DEDHAM ST",
            "city": "NEWTON HIGHLANDS",
            "state": "MA",
            "postal_code": "024612045",
            "telephone_number": "617-633-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 SARATOGA ST STE 3",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281238",
            "telephone_number": "617-633-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BOSTON FAMILY WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "KAGRAMANIAN",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-633-5221",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.