NPIMap

Organization Active NPI

Orthopedic Rehab Associates PC

  • Physical Therapist
  • Pembroke, MA
National Provider Identifier
1871503524
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10914 Issued in MA
Legal business name
ORTHOPEDIC REHAB ASSOCIATES PC
Practice address
300 Oak St Ste 450
Pembroke, MA 02359-1960
Phone
(781) 829-9966
Fax
(781) 829-2164
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Authorized official

Name
Mr. Mark Lembo, P.T.NPI 1023137577
Title
Owner
Phone
(781) 829-9966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 10914 MA Primary

Addresses

Primary practice location

300 Oak St Ste 450
Pembroke, MA 02359-1960

Mailing address

300 Oak St Ste 450
Pembroke, MA 02359-1960
Phone (781) 829-9966

Other identifiers 7

IdentifierTypeStateIssuer
0030197OtherMANEIGHBORHOOD HEALTH PLAN
9909211OtherMACIGNA
AA30055OtherMAHARVARD PILGRIM HEALTHCAR
Y61332OtherMABLUE CROSS BLUE SHIELD
125316000OtherMAU.S DEPARTMENT OF LABOR
3279637OtherMAAETNA
698148OtherMATUFTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110124000370 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8820044092 Receives reassigned benefits from 4 practitioners
Practice locations: Duxbury, MA; Pembroke, MA

National Provider Directory

National Provider Directory

Locations

289 Saint George St
Unit 101
Duxbury, MA 02332
Phone (781) 829-9966

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1871503524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 OAK ST STE 450",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591960",
            "telephone_number": "781-829-9966",
            "fax_number": "781-829-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OAK ST STE 450",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591960",
            "telephone_number": "781-829-9966",
            "fax_number": "781-829-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC REHAB ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "LEMBO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-829-9966",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "10914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0030197",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9909211",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCAR",
            "identifier": "AA30055",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y61332",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S DEPARTMENT OF LABOR",
            "identifier": "125316000",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3279637",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "698148",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.