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HARBOR VIEW PHYSICAL THERAPY & SPORTS MEDICINE INC. NPI 1114133451


NPI Information

NPI: 1114133451
Provider Name: HARBOR VIEW PHYSICAL THERAPY & SPORTS MEDICINE, INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
12 BENNINGTON ST
EAST BOSTON, MA
ZIP 02128
Phone: (617) 569-4200
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HARBOR VIEW PHYSICAL THERAPY & SPORTS MEDICINE, INC. is a specialist in East Boston, MA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HARBOR VIEW PHYSICAL THERAPY & SPORTS MEDICINE, INC. NPI is 1114133451. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12 BENNINGTON ST
EAST BOSTON, MA
ZIP 02128-771
Phone: (617) 569-4200
Fax: (617) 569-4202

The provider's authorized official is Alfred Petriello .
The authorized official title is Physical Therapist and has the following contact phone number (617) 569-4200.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist10322MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1307527OTHERMASSACHUSETTSHARVARD PILGRIM HEALTH
2000000007077OTHERMASSACHUSETTSBOSTON MEDICAL CENTER H
3Y61161OTHERMASSACHUSETTSBLUE CROSS & BLUE SHIELD
40017618OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH PLAN
59785256MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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