Organization Active NPI

Within Reach Mobile Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Melrose, MA
National Provider Identifier
1952064396
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
WITHIN REACH MOBILE PHYSICAL THERAPY LLC
Practice address
46 Morgan St
Melrose, MA 02176-1239
Phone
(617) 803-3015
NPI assigned
Oct 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Tracy St. Hilaire, PTNPI 1952372625
Title
Owner/PT
Phone
(617) 803-3015

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

46 Morgan St
Melrose, MA 02176-1239

Mailing address

200F Main St # 170
Stoneham, MA 02180-1619
Phone (617) 803-3015

Other identifiers 1

IdentifierTypeStateIssuer
1952372625OtherMANPI TYPE 1

National Provider Directory

National Provider Directory

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": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1952064396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200F MAIN ST # 170",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801619",
            "telephone_number": "617-803-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 MORGAN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021761239",
            "telephone_number": "617-803-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITHIN REACH MOBILE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "ST. HILAIRE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "617-803-3015",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1952372625",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.