NPIMap

Organization Active NPI

TB12 LLC

  • Physical Therapist
  • Foxborough, MA
National Provider Identifier
1891190229
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18781 Issued in MA
Legal business name
TB12 LLC
Practice address
240 Patriot PL
Foxborough, MA 02035-5100
Phone
(508) 543-4900
NPI assigned
Oct 28, 2014
Last updated
Oct 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Authorized official

Name
Mr. Alejandro Guerrero
Title
Operating Manager
Phone
(508) 543-4900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 18781 MA Primary
Athletic Trainer 2255A2300X 1795 MA

Addresses

Primary practice location

240 Patriot PL
Foxborough, MA 02035-5100

Mailing address

240 Patriot PL
Foxborough, MA 02035-5100

National Provider Directory

National Provider Directory

Locations

240 Patriot Pl
Foxborough, MA 02035
Phone (508) 543-4900

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1891190229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 PATRIOT PL",
            "city": "FOXBOROUGH",
            "state": "MA",
            "postal_code": "020355100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 PATRIOT PL",
            "city": "FOXBOROUGH",
            "state": "MA",
            "postal_code": "020355100",
            "telephone_number": "508-543-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TB12 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "508-543-4900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18781",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "1795",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foxborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.