NPIMap

Organization Active NPI

Flourish Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Boston, MA
National Provider Identifier
1962986166
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FLOURISH PHYSICAL THERAPY, LLC
Practice address
262 Beacon St Ste 5
Boston, MA 02116-1295
Phone
(413) 551-9394
NPI assigned
Sep 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Authorized official

Name
Dustienne MillerNPI 1144310210
Title
Owner
Phone
(413) 551-9394

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

262 Beacon St Ste 5
Boston, MA 02116-1295

Mailing address

262 Beacon St Ste 5
Boston, MA 02116-1295
Phone (413) 551-9394

National Provider Directory

National Provider Directory

Locations

262 Beacon St
Ste 5
Boston, MA 02116
Phone (413) 551-9394

Practitioners & affiliated clinicians

Practitioners 2

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": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1962986166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 BEACON ST STE 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021161295",
            "telephone_number": "413-551-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 BEACON ST STE 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021161295",
            "telephone_number": "413-551-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DUSTIENNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-551-9394"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

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