Organization Active NPI

Neighborhood Physical Therapy

  • Physical Therapy Clinic/Center
  • Brockton, MA
National Provider Identifier
1881712487
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
279 Issued in MA
Legal business name
NEIGHBORHOOD PHYSICAL THERAPY
Practice address
138 Main St
Brockton, MA 02301-4013
Phone
(508) 580-4492
Fax
(508) 580-4478
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dina Correia
Title
Owner
Phone
(508) 580-4492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 279 MA Primary

Addresses

Primary practice location

138 Main St
Brockton, MA 02301-4013

Mailing address

138 Main St
Brockton, MA 02301-4013
Phone (508) 580-4492

National Provider Directory

National Provider Directory

Locations

138 Main St
Brockton, MA 02301
Phone (508) 580-4492

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881712487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014013",
            "telephone_number": "508-580-4492",
            "fax_number": "508-580-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014013",
            "telephone_number": "508-580-4492",
            "fax_number": "508-580-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORREIA",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-580-4492"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.