NPIMap

Organization Active NPI

Orthopedic Care Specialists Inc.

  • Physical Therapist
  • North Easton, MA
National Provider Identifier
1982721387
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
332 Issued in MA
Legal business name
ORTHOPEDIC CARE SPECIALISTS INC.
Practice address
20 Roche Bros Way Unit 1
North Easton, MA 02356-1030
Phone
(781) 573-1686
Fax
(781) 573-1696
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Authorized official

Name
Simon Cornelissen, MD
Title
Owner/Member
Phone
(781) 344-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 332 MA Primary

Addresses

Primary practice location

20 Roche Bros Way Unit 1
North Easton, MA 02356-1030

Mailing address

15 Roche Bros Way
North Easton, MA 02356-1000
Phone (781) 344-3535

Other identifiers 5

IdentifierTypeStateIssuer
9702911MedicaidMA
Y61349OtherMABC BS GROUP PROVIDER #
602587OtherMATUFTS GROUP PROVIDER #
0013738OtherMANHP PT & OT PROVIDER #
626575OtherMAHPHC GROUP PROVIDER #

National Provider Directory

National Provider Directory

Locations

20 Roche Bros Way
Ste 1
North Easton, MA 02356
Phone (781) 573-1686

Practitioners & affiliated clinicians

Practitioners 5

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1982721387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ROCHE BROS WAY",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561000",
            "telephone_number": "781-344-3535",
            "fax_number": "781-573-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ROCHE BROS WAY UNIT 1",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561030",
            "telephone_number": "781-573-1686",
            "fax_number": "781-573-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC CARE SPECIALISTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "CORNELISSEN",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "781-344-3535",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9702911",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS GROUP PROVIDER #",
            "identifier": "Y61349",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS GROUP PROVIDER #",
            "identifier": "602587",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP PT & OT PROVIDER #",
            "identifier": "0013738",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC GROUP PROVIDER #",
            "identifier": "626575",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Easton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.