NPIMap

Organization Active NPI

Resilient Physical Therapy and Wellness, LLC

  • Physical Therapy Clinic/Center
  • Needham, MA
National Provider Identifier
1942670484
Registry record updated Sep 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
20238 Issued in MA
Legal business name
RESILIENT PHYSICAL THERAPY AND WELLNESS, LLC
Practice address
992 Great Plain Ave
Suite 2
Needham, MA 02492-2561
Phone
(617) 356-8221
Fax
(617) 356-8221
NPI assigned
Sep 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2015

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

Authorized official

Name
Sarah Herschberger, DPT
Title
Owner, Physical Therapist
Phone
(617) 356-8221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 20238 MA Primary

Addresses

Primary practice location

992 Great Plain Ave
Suite 2
Needham, MA 02492-2561

Mailing address

416 Baker St
#2
West Roxbury, MA 02132-4232
Phone (617) 356-8221

National Provider Directory

National Provider Directory

Locations

992 Great Plain Ave
Ste 2
Needham, MA 02492
Phone (617) 356-8221

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1443312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443312000000",
    "number": "1942670484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 BAKER ST",
            "address_2": "#2",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324232",
            "telephone_number": "617-356-8221",
            "fax_number": "617-356-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 GREAT PLAIN AVE",
            "address_2": "SUITE 2",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922561",
            "telephone_number": "617-356-8221",
            "fax_number": "617-356-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-27",
        "last_updated": "2015-09-27",
        "status": "A",
        "authorized_official_last_name": "HERSCHBERGER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "617-356-8221",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "20238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2015; 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.