NPIMap

Organization Active NPI

Teamwork Physical Therapy Inc

  • Physical Therapist
  • Quincy, MA
National Provider Identifier
1972553857
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TEAMWORK PHYSICAL THERAPY INC
Practice address
618 Washington St
Quincy, MA 02169-7335
Phone
(617) 847-0066
Fax
(617) 847-0908
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Mr. Albert E Audette, BS,PTA
Title
Chief Operating Officer
Phone
(617) 847-0066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

618 Washington St
Quincy, MA 02169-7335

Mailing address

618 Washington St
Quincy, MA 02169-7335
Phone (617) 847-0066

Other identifiers 1

IdentifierTypeStateIssuer
9717625MedicaidMA

Other names 1

  • TEAMWORK PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory

Locations

46 Long Pond Rd
Plymouth, MA 02360
Phone (774) 283-4387

65 Long Pond Rd
Plymouth, MA 02360
Phone (774) 773-9070

Practitioners & affiliated clinicians

Practitioners 11

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": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1972553857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 WASHINGTON ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021697335",
            "telephone_number": "617-847-0066",
            "fax_number": "617-847-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 WASHINGTON ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021697335",
            "telephone_number": "617-847-0066",
            "fax_number": "617-847-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAMWORK PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "AUDETTE",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "617-847-0066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS,PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9717625",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEAMWORK PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.