NPIMap

Organization Active NPI

Off-Season Sports & Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • North Andover, MA
National Provider Identifier
1902127913
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
18051 Issued in MA
Legal business name
OFF-SEASON SPORTS & PHYSICAL THERAPY INC
Practice address
1600 Osgood St Ste 2085
North Andover, MA 01845-1048
Phone
(978) 688-6181
NPI assigned
Jun 14, 2010
Last updated
Sep 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Dr. Lawrence Bourdeau, DPT, ATC/L, CSCSNPI 1659556355
Title
Owner
Phone
(413) 335-2925

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 Therapy Clinic/Center 261QP2000X 18051 MA Primary

Addresses

Primary practice location

1600 Osgood St Ste 2085
North Andover, MA 01845-1048

Mailing address

1820 Turnpike St # 200
North Andover, MA 01845-6327
Phone (978) 688-6181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101104000026 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6507050416 Receives reassigned benefits from 4 practitioners
Practice locations: North Andover, MA

National Provider Directory

National Provider Directory

Locations

1600 Osgood St
Ste 2085
North Andover, MA 01845
Phone (978) 688-6181

1820 Turnpike St
Ste 200
North Andover, MA 01845
Phone (877) 480-8865

135 North Beacon St
Watertown, MA 02472
Phone (617) 923-3500

Practitioners & affiliated clinicians

Practitioners 9

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": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1902127913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 TURNPIKE ST # 200",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456327",
            "telephone_number": "978-688-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 OSGOOD ST STE 2085",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451048",
            "telephone_number": "978-688-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFF-SEASON SPORTS & PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-14",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "BOURDEAU",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-335-2925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, ATC/L, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "18051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.