128 Medical Group LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

128 MEDICAL GROUP LLC

Doing business as

CREATE Health and Wellness

Practice address

192 Sudbury Rd
Concord, MA 01742-3420

Phone

(978) 804-7844

NPI assigned

Mar 5, 2025

Last updated

Jul 23, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Hanley

Title

Billing

Phone

(978) 804-7844

Specialties & licenses 2

Addresses

Other names 1

• CREATE Health and Wellness Doing business as

Locations

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1881492759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 SUDBURY RD",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 SUDBURY RD",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423420",
            "telephone_number": "978-804-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "128 MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "HANLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "978-804-7844"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CREATE Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CREATE Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Concord, MA
• Providers in Concord, MA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.