BACK BAY HEALTH LLC


Address: 665 Boylston St # 3, Boston, MA 02116-4824
Phone: 7245542795

BACK BAY HEALTH LLC (NPI# 1033554894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033554894
Entity Type Organization
Organization Name BACK BAY HEALTH LLC
Other Organization Name BACK BAY HEALTH AND PERFORMANCE
Practice Address 665 Boylston St # 3
Boston
MA 02116-4824
Practice Telephone 7245542795
Practice Fax Number 8573503251
Enumeration Date 2013-05-07
Last Update Date 2020-08-08
Authorized Official Name TIMOTHY RICHARD LATHAM (OWNER)
Authorized Official Telephone 7245542795
Authorized Official Credential DC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 133N00000X Nutritionist Dietary & Nutritional Service Providers
N 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers
N 225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 111N00000X Chiropractor Chiropractic Providers

Other Provider/Organization Names

Other Name Type Code
Back Bay Health and Performance Doing Business As Name - Organization
Mass Wellness Doing Business As Name - Organization
Wissahickon Spine and Nutrition Doing Business As Name - Organization

Office Location

Street Address 665 BOYLSTON ST # 3
City BOSTON
State MA
Zip Code 02116-4824

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104439272 Dennis Lau Pharmacist 21-23 Stanhope St., Boston, MA 02116 2020-08-28
1184199457 Padideh Mohammad Alizadeh Chafjiri Dentist 62 Baylston Street Apt 801, Boston, MA 02116 2018-10-12
1114407467 Marissa Shallcross Social Worker 120 Boylston Street, Boston, MA 02116 2018-08-16
1245732825 Rachel Klein Social Worker 39 Boylston Street, Boston, MA 02116 2018-02-28
1447759691 Yintuition Wellness, Pllc Acupuncturist 551 Boylston St., Suite 4, Boston, MA 02116 2018-02-02
1104324094 Anne Vinick Social Worker The Community Builders, 185 Dartmouth Street 9th Floor, Boston, MA 02116 2018-01-25
1982117743 Cassandra Xanthos Social Worker Tca Counseling, 262 Beacon St. 2nd Floor, Boston, MA 02116 2017-11-14
1255859757 Carolyn Jamie Kussmaul Physician Assistant 216 Beacon Street Apt 1, Boston, MA 02116 2017-09-05
1215472634 Chantel Castro Counselor 8 Yarmouth Place Apt #2, Boston, MA 02116 2016-12-20
1336598598 Nicole Savina Rittershaus Pediatrics 354 Tremont Street, Boston, MA 02116 2016-06-08
Find all providers in zip 02116

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649779281 Timothy Simansky D.c. P.C. Chiropractor 139 Beacon St Apt 2, Boston, MA 02116-1559 2018-02-09
1881102432 Kristen Bova Chiropractor 79a Prince St, Boston, MA 02113-1701 2018-01-17
1700264397 Eunheay Lee Chiropractor 30 Fenway, Unit 1, Boston, MA 02215-4004 2015-05-14
1144623687 Elevate Health Cambridge Chiropractor 72 Bakersfield St Unit 3, Boston, MA 02125-1901 2014-09-29
1073959409 A Touch of Health Chiropractic Boston, LLC Chiropractor 61 Endicott St, Boston, MA 02113-2202 2013-05-13
1821333212 Ryan Patrick Hollien Chiropractor 212 Northern Ave, Boston, MA 02210-2089 2012-12-11
1912265778 Malori Tinsley Chiropractor 183 Beacon St, Apartment 1r, Boston, MA 02116 2012-04-30
1861761587 Inyoung Yang Chiropractor 30 Fenway Ste 1, Boston, MA 02215-4016 2011-12-27
1912213216 Clayton John Blanchette Chiropractor 441 Stuart St Fl 3, Boston, MA 02116-5019 2010-08-24
1689994907 Chung-tser Blair Lee Chiropractor 50 Congress St, Suite 7, Boston, MA 02109-4002 2010-06-09
Find all providers in BOSTON

Competitor

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City BOSTON
Zip Code 02116

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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