Individual provider Active NPI

Ravit Barak, DPT

  • Physical Therapist
  • Cambridge, MA
National Provider Identifier
1942625892
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19802 Issued in MA
Practice address
103 Walden St
Cambridge, MA 02140-3304
Phone
(212) 924-9119
NPI assigned
Mar 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19802 MA Primary

Addresses

Primary practice location

103 Walden St
Cambridge, MA 02140-3304

Mailing address

103 Walden St
Cambridge, MA 02140-3304
Phone (212) 924-9119

Other practice location 1

125 Lewis Wharf
Boston, MA 02110-3926
Phone (617) 523-2766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19802MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care of Boston Management Corporation CurrentSince Jan 4, 2021 Accepting new patients

Locations

294 Washington St
Ste 219
Boston, MA 02108
Phone (617) 426-5500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1942625892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WALDEN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021403304",
            "telephone_number": "212-924-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WALDEN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021403304",
            "telephone_number": "212-924-9119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Lewis Wharf",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021103926",
            "country_code": "US",
            "telephone_number": "617-523-2766",
            "fax_number": "617-523-3063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARAK",
        "first_name": "RAVIT",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-03",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.