Active NPI
LC Holbrook, Inc.
- Physical Therapist
- Holbrook, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13235
- Legal business name
- LC HOLBROOK, INC.
- Practice address
- 169 N Franklin St
Holbrook, MA 02343-1174 - Phone
- (781) 767-5200
- Fax
- (781) 767-5202
- NPI assigned
- Apr 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Karoul, PT
- Title
- Owner
- Phone
- (781) 864-6190
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13235 | MA | Primary |
Addresses
Primary practice location
169 N Franklin St
Holbrook, MA 02343-1174
Mailing address
19 Lancelot LN
North Easton, MA 02356-2720
Phone (781) 864-5499
Other practice location 1
20 East St
Hanover, MA 02339-1638
Phone (781) 767-5200
Other practice location 2
333 Tosca Dr
Stoughton, MA 02072-1530
Phone (781) 767-5200
Other practice location 3
49 Pearl St
Brockton, MA 02301-2878
Phone (781) 767-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11007783A | Medicaid | MA |
Other names 1
- National Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070515000549 | MA | Part B Supplier - Clinic/Group Practice | 6901903574 |
Receives reassigned benefits from 8 practitioners Practice locations: Brockton, MA; Stoughton, MA; Mansfield, MA; Hanover, MA; Holbrook, MA |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Fall River, MA
- NPI 1043316763
Member Of
Locations
20 East St
Ste 2
Hanover, MA 02339
Phone (781) 826-8309
1207 Washington St
Ste B5
Hanover, MA 02339
Phone (781) 767-5200
660 East St
Mansfield, MA 02048
Phone (781) 767-5200
333 Tosca Dr
Stoughton, MA 02072
Phone (781) 767-5200
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Fall River, MA
- NPI 1356559165
MA, Physical Therapist
-
- Family Nurse Practitioner
- Brockton, MA
- NPI 1407503865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567209600000",
"number": "1922129642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 LANCELOT LN",
"city": "NORTH EASTON",
"state": "MA",
"postal_code": "023562720",
"telephone_number": "781-864-5499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 N FRANKLIN ST",
"city": "HOLBROOK",
"state": "MA",
"postal_code": "023431174",
"telephone_number": "781-767-5200",
"fax_number": "781-767-5202"
}
],
"practiceLocations": [
{
"address_1": "20 East St",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "MA",
"postal_code": "023391638",
"country_code": "US",
"telephone_number": "781-767-5200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 Tosca Dr",
"address_purpose": "LOCATION",
"city": "Stoughton",
"state": "MA",
"postal_code": "020721530",
"country_code": "US",
"telephone_number": "781-767-5200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "49 Pearl St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023012878",
"country_code": "US",
"telephone_number": "781-767-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LC HOLBROOK, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-02",
"last_updated": "2019-08-31",
"status": "A",
"authorized_official_last_name": "KAROUL",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "781-864-6190",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MA",
"license": "13235",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11007783A",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "National Physical Therapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "National Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Holbrook, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2019; 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.