Organization Active NPI

Lifelong Rehab New England Inc.

  • Occupational Therapist
  • Westborough, MA
National Provider Identifier
1912596776
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
LIFELONG REHAB NEW ENGLAND INC.
Practice address
290 Turnpike Rd Ste 5-326
Westborough, MA 01581-2843
Phone
(631) 278-0665
Fax
(631) 532-4886
NPI assigned
Jan 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Authorized official

Name
Jeffrey Wayne Ciolino, OTRNPI 1144247222
Title
Owner
Phone
(631) 278-0665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

290 Turnpike Rd Ste 5-326
Westborough, MA 01581-2843

Mailing address

290 Turnpike Rd Ste 5-326
Westborough, MA 01581-2843
Phone (631) 278-0665

National Provider Directory

National Provider Directory

Locations

290 Turnpike Rd
Westborough, MA 01581
Phone (413) 517-6800

290 Turnpike Rd
Ste 5326
Westborough, MA 01581
Phone (860) 508-6080

Practitioners & affiliated clinicians

Practitioners 1

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": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1912596776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 TURNPIKE RD STE 5-326",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812843",
            "telephone_number": "631-278-0665",
            "fax_number": "631-532-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 TURNPIKE RD STE 5-326",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812843",
            "telephone_number": "631-278-0665",
            "fax_number": "631-532-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELONG REHAB NEW ENGLAND INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "CIOLINO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-278-0665",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.