SPORTS THERAPY & REHABILITATION CENTER, INC. (NPI# 1134259252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134259252 |
| Entity Type | Organization |
| Organization Name | SPORTS THERAPY & REHABILITATION CENTER, INC. |
| Practice Address |
84 Highland Ave Suite 201 Salem MA 01970-2727 |
| Mailing Address |
84 Highland Ave Salem MA 01970-2727 |
| Practice Telephone | 9787410880 |
| Mailing Telephone | 9787410880 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-11-05 |
| Authorized Official Name | MR. CHRIS JENSEN (BUSINESS OWNER) |
| Authorized Official Telephone | 9787410880 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
135 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | HARVARD PILGRIM | AA68907 | 01 |
| MA | 0368989 | 05 | |
| MA | BLUE CROSS / BLUE SHIELD | Y61051 | 01 |
| Street Address |
84 HIGHLAND AVE SUITE 201 |
| City | SALEM |
| State | MA |
| Zip Code | 01970-2727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306823331 | Richard L Pohl | Psychiatry & Neurology | 84 Highland Ave, Suite 302, Salem, MA 01970-2733 | 2005-12-30 |
| 1104317304 | Julieta Maria Perez | Nurse Practitioner | 84 Highland Ave, Salem, MA 01970-2727 | 2018-05-23 |
| 1477006906 | Elizabeth Walsh | Nurse Practitioner | 84 Highland Ave, Salem, MA 01970-2727 | 2016-08-02 |
| 1922454149 | Whole Care, LLC | Clinic/Center | 84 Highland Ave, Ste 309, Salem, MA 01970-2727 | 2016-05-05 |
| 1558734731 | Christopher Ortiz | Physician Assistant | 84 Highland Ave, Suite 305, Salem, MA 01970-2727 | 2015-11-10 |
| 1902298136 | Century Medical, PC | Family Medicine | 84 Highland Ave, Suite 312, Salem, MA 01970-2727 | 2015-02-25 |
| 1629467600 | Iris Berry | Physical Therapy Assistant | 84 Highland Ave, Salem, MA 01970-2727 | 2015-01-14 |
| 1902205537 | Kathleen Goode | Physical Therapist | 84 Highland Ave, 201, Salem, MA 01970-2727 | 2014-08-20 |
| 1093123382 | Elizabeth Cullinan | Nurse Practitioner | 84 Highland Ave, Salem, MA 01970-2727 | 2014-07-30 |
| 1477961472 | Kenney & Associates PC | Counselor | 84 Highland Ave, Suite 305, Salem, MA 01970-2727 | 2014-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
| 1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
| 1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
| 1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
| 1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
| 1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
| 1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
| 1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
| Find all providers in zip 01970 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518448 | Shira Lauren Dragun | Clinic/Center | 63 1/2 Jefferson Ave, Salem, MA 01970-2975 | 2020-11-03 |
| 1548736028 | Vibrance Physical Therapy LLC | Clinic/Center | 3295 Triangle Dr Se Ste 140, Salem, OR 97302-4566 | 2018-10-22 |
| 1881850634 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 1051 Stamp Creek Rd, Salem, SC 29676-4516 | 2008-07-31 |
| 1558495762 | Performance Zone Sports and Orthopedic Physical Therapy Inc. | Clinic/Center | 2138 Lancaster Dr Ne, Suite 103, Salem, OR 97305-1227 | 2007-03-16 |
| 1063437747 | Apex Physical Therapy, LLC | Clinic/Center | 1875 W Main St, Salem, IL 62881-5839 | 2006-07-13 |
| 1467450437 | Richfield Wellness and Rehab, Inc. | Clinic/Center | 3737 W Main St, Salem, VA 24153-2072 | 2005-07-13 |
| 1124630850 | Kevin Carl Manabe Coriano | Clinic/Center | 631 Jason St Ne, Salem, OR 97301-2357 | 2020-08-24 |
| 1861003287 | Kevin Carl Manabe Coriano | Clinic/Center | 631 Jason St Ne, Salem, OR 97301-2357 | 2020-08-10 |
| 1225214539 | Select Physical Therapy Holdings Inc | Clinic/Center | 7 Stiles Rd, Suite 104, Salem, NH 03079-4881 | 2008-01-16 |
| 1275738221 | Total Life Physical Therapy LLC | Clinic/Center | 5 Public Sq, Salem, IN 47167-2050 | 2007-06-19 |
| Find all providers in SALEM | ||||
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| 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.