Mount Auburn Physical Therapy Associates, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MOUNT AUBURN PHYSICAL THERAPY ASSOCIATES, PC

Practice address

521 Mount Auburn St
Suite 205
Watertown, MA 02472-4191

Phone

(617) 923-0757

Fax

(617) 923-2127

NPI assigned

Oct 14, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Susan M Lattanzi, PT

Title

President/Owner

Phone

(617) 923-0757

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah A. M. Herlihy, PT

  • Physical Therapist
  • Wellesley Hills, MA
  • NPI 1669562062
  NPD (past)

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922198324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MOUNT AUBURN ST",
            "address_2": "SUITE 205",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724191",
            "telephone_number": "617-923-0757",
            "fax_number": "617-923-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MOUNT AUBURN ST",
            "address_2": "SUITE 205",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724191",
            "telephone_number": "617-923-0757",
            "fax_number": "617-923-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT AUBURN PHYSICAL THERAPY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LATTANZI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "617-923-0757",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "Y61017",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita R Moss, LICSW
• Fatema Mostafa
• Sejal R. Motwane, PHARMD
• Mount Auburn Athletic Club, Inc.
• Mount Auburn Hospital
• Ms Orthodontics Associates LLC
• Mt Auburn Professional OBGYN
• Mt Auburn Professional Services
• Mt Auburn Professional Services
• Sandra Lynn Mulhern

• Physical Therapist in Watertown, MA
• Providers in Watertown, MA by specialty
• Physical Therapist in Massachusetts

• 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.