Shalom Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SHALOM PHYSICAL THERAPY, LLC

Practice address

78 Bennington St
Boston, MA 02128-1704

Phone

(857) 222-6510

NPI assigned

Aug 18, 2019

Organization subpart

No

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

Authorized official

Name

Mirza Lopez

Title

Member/Manager

Phone

(857) 222-6510

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1566086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566086400000",
    "number": "1871149583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 BENNINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021281704",
            "telephone_number": "857-222-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 BENNINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021281704",
            "telephone_number": "857-222-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-18",
        "last_updated": "2019-08-18",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MIRZA",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "857-222-6510"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salma Shaker
• Deepika Shaligram, MD
• Mariana Shalit
• Cameron Michael Shalkowski, LBA
• Marissa Shallcross, LICSW
• Lauren Sham, MD
• Ilene Shambayati, DMD
• Robert Cooper Shamberger, MD
• Jaclyn Shameklis, M.D.
• Tracie Shames, DMD

• Physical Therapy Clinic/Center in Boston, MA
• Providers in Boston, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.