SMB Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

17540 Issued in MA

Legal business name

SMB THERAPY

Doing business as

Susan Murray-Blake

Practice address

19 Prince Rd
Charlton, MA 01507-5117

Phone

(774) 402-0552

NPI assigned

Apr 11, 2017

Last updated

Apr 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Amanda Murray-Blake, PT, RMTNPI 1982138418

Title

Sole Proprietor

Phone

(774) 402-0552

Specialties & licenses 1

Addresses

Other names 1

• Susan Murray-Blake Doing business as

Practitioners 1

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.

• Susan Amanda Murray-Blake, PT, RMT

  • Physical Therapist
  • Charlton, MA
  • NPI 1982138418
  NPD (past) Authorized official

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1952835480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 PRINCE RD",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "015075117",
            "telephone_number": "774-402-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 PRINCE RD",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "015075117",
            "telephone_number": "774-402-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMB THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "MURRAY-BLAKE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "774-402-0552",
        "authorized_official_credential": "PT, RMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "17540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan Murray-Blake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Scott, CPS
• Jennifer J. Sexton, LICSW
• Archana S Shah, MD
• Heather C. Sienel, PA-C
• Natasha Simons, CHW
• Mary-Elise Smith, MD
• David Cooper Snowdon Jr., O.D.
• Adriana Solari
• Southern Worcester County Regional Vocational School District
• Elizabeth Anne Stanley, LMHC

• Physical Therapy Clinic/Center in Charlton, MA
• Providers in Charlton, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.