Organization Active NPI

New England Sports Therapy Plus III, Inc

  • Physical Therapist
  • Dorchester, MA
National Provider Identifier
1922134816
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
200838 Issued in MA
Legal business name
NEW ENGLAND SPORTS THERAPY PLUS III, INC
Practice address
142 Park St
Dorchester, MA 02122-1228
Phone
(617) 265-2224
Fax
(617) 822-2223
NPI assigned
Feb 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Holly M Correia
Title
VP Admin
Phone
(781) 341-2224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 200838 MA Primary

Addresses

Primary practice location

142 Park St
Dorchester, MA 02122-1228

Mailing address

966A Park St
Stoughton, MA 02072-3650
Phone (781) 341-2224

Other identifiers 1

IdentifierTypeStateIssuer
9756281MedicaidMA

National Provider Directory

National Provider Directory

Locations

142 Park St
Dorchester, MA 02122
Phone (617) 265-2224

Practitioners & affiliated clinicians

Practitioners 2

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922134816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966A PARK ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723650",
            "telephone_number": "781-341-2224",
            "fax_number": "781-341-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 PARK ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021221228",
            "telephone_number": "617-265-2224",
            "fax_number": "617-822-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND SPORTS THERAPY PLUS III, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORREIA",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP ADMIN",
        "authorized_official_telephone_number": "781-341-2224"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "200838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9756281",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, 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.