The Commonwealth of Massachusetts

Primary specialty

Children's Chronic Disease HospitalTaxonomy code 281PC2000X

Legal business name

THE COMMONWEALTH OF MASSACHUSETTS

Practice address

3 Randolph St.
Canton, MA 02021-0317

Phone

(781) 828-2440

Fax

(781) 821-4086

NPI assigned

Oct 6, 2006

Organization subpart

Yes

Parent organization

THE COMMONWEALTH OF MASSACHUSETTSAs reported in NPPES

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

Authorized official

Name

Valenda Liptak

Title

Bureau Director, Public Health Hosp

Phone

(413) 784-9186

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pappas Rehabilitation Hospital for Children Doing business as

Part of

C Stanley Raymond

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruchi Arora, MD

  • Pediatrics Physician
  • Dorchester, MA
  • NPI 1912197807
  NPD (past)
• Valerie F Pietry, FAMILY PRACTICE

  • Family Medicine Physician
  • Worcester, MA
  • NPI 1356352439
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1992892350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RANDOLPH ST.",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020210317",
            "telephone_number": "781-828-2440",
            "fax_number": "781-821-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RANDOLPH ST.",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020210317",
            "telephone_number": "781-828-2440",
            "fax_number": "781-821-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMONWEALTH OF MASSACHUSETTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE COMMONWEALTH OF MASSACHUSETTS",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "LIPTAK",
        "authorized_official_first_name": "VALENDA",
        "authorized_official_title_or_position": "BUREAU DIRECTOR, PUBLIC HEALTH HOSP",
        "authorized_official_telephone_number": "413-784-9186"
    },
    "taxonomies": [
        {
            "code": "281PC2000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1102125",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110078194D",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pappas Rehabilitation Hospital for Children",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pappas Rehabilitation Hospital for Children",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan M Sweeney, M.D.
• Elie G Tannous, DMD
• Craig Steven Tarantino, MS, PT
• Frank Vincent Taylor
• The Commonwealth of Massachusetts
• Theodore Goodman MD
• Therapeutic Learning Center
• Therapeutic Learning Center, Inc.
• Myrlande Thomas-Lormil, CD-L
• Mark L Thomas, RPH

• Chronic Disease Hospital in Canton, MA
• Providers in Canton, MA by specialty
• Chronic Disease Hospital in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.