SPINAL REHAB GROUP LLC NPI 1497063440

NPI Information

NPI: 1497063440
Provider Name: SPINAL REHAB GROUP, LLC
Classification: Clinic/Center - 261QR0800X
Entity Type: Organization

Specialization: Recovery Care

Address:
406 S HUNTINGTON AVE
JAMAICA PLAIN, MA
ZIP 02130
Phone: (617) 524-4878
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SPINAL REHAB GROUP, LLC is a recovery care clinic center in Jamaica Plain, MA. SPINAL REHAB GROUP, LLC NPI is 1497063440. The provider is registered as an organization entity type.

The provider's business location address is:

406 S HUNTINGTON AVE
JAMAICA PLAIN, MA
ZIP 02130-814
Phone: (617) 524-4878
Fax: (617) 524-0075

The provider's authorized official is Glenn Lee Dodes .
The authorized official title is Owner and has the following contact phone number (617) 524-4878.

The enumeration date for this NPI number is 9/23/2010 and was last updated on 9/23/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0800X	Clinic/Center	Recovery Care	1871	MASSACHUSETTS	Yes

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

NPI Synchronization or Removal

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