PHYSICAL THERAPY OF GREATER MATTAPAN PC (NPI# 1730496696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730496696 |
| Entity Type | Organization |
| Organization Name | PHYSICAL THERAPY OF GREATER MATTAPAN PC |
| Practice Address |
1613 Blue Hill Ave Suite 307 Mattapan MA 02126-2123 |
| Mailing Address |
1613 Blue Hill Avenue Suite 307 Mattapan MA 02126-2213 |
| Practice Telephone | 6177835783 |
| Mailing Telephone | 6177835783 |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2012-12-18 |
| Authorized Official Name | DR. FERISH GOLDIN (PRESIDENT) |
| Authorized Official Telephone | 6177835783 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
1613 BLUE HILL AVE SUITE 307 |
| City | MATTAPAN |
| State | MA |
| Zip Code | 02126-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346486529 | Priority Professional Care, LLC | Clinic/Center | 1613 Blue Hill Ave, Mattapan, MA 02126-2123 | 2008-12-18 |
| 1528439890 | Michele Bernbaum | Counselor | 1613 Blue Hill Ave, Suite 302, Mattapan, MA 02126-2123 | 2015-10-13 |
| 1225409949 | Jennifer Leonellys Nova | Student in an Organized Health Care Education/Training Program | 1613 Blue Hill Ave, Mattapan, MA 02126-2123 | 2015-10-08 |
| 1205203213 | Venulda Veiga | Counselor | 1613 Blue Hill Ave, Mattapan, MA 02126-2123 | 2015-08-25 |
| 1740562073 | Nancy Stevenson | Social Worker | 1613 Blue Hill Ave, Mattapan, MA 02126-2123 | 2011-09-13 |
| 1518253079 | Michelle Katherine Mcdonagh | Social Worker | 1613 Blue Hill Ave, Mattapan, MA 02126-2123 | 2011-06-23 |
| 1811295405 | Krystle Gwendolyn Perez | Counselor | 1613 Blue Hill Ave, Suite 302, Mattapan, MA 02126-2123 | 2011-03-04 |
| 1538463518 | Abbey Rd. Home Care Services | In Home Supportive Care | 1613 Blue Hill Ave, Ste. 301, Mattapan, MA 02126-2123 | 2011-01-05 |
| 1679880157 | Celeste Marie Viciere | Counselor | 1613 Blue Hill Ave, Mattapan, MA 02126-2123 | 2010-09-07 |
| 1871818203 | Priority Professional Care | Community/Behavioral Health | 1613 Blue Hill Ave, Mattapan, MA 02126-2123 | 2010-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280646 | Covil Home Care LLC | In Home Supportive Care | 1549 Blue Hill Ave, Mattapan, MA 02126 | 2019-05-10 |
| 1902374069 | Kasha Sarette | Social Worker | 37 Babson St, Mattapan, MA 02126 | 2018-11-07 |
| 1093231359 | Danielle Christian | Behavior Technician | 73 Catbird Ct, Mattapan, MA 02126 | 2017-08-18 |
| 1609314681 | Regis College | Hospice, Inpatient | 19 Southmere Road, Mattapan, MA 02126 | 2017-02-09 |
| 1437606001 | Betsy-lynn Ngole | Community Health Worker | 137 Savannah Ave, Boston, MA 02126 | 2016-09-01 |
| 1437535440 | Rosel Forwang Lewis | Registered Nurse | 42 Hallowell St, Mattapan, MA 02126 | 2015-08-03 |
| 1033596895 | Quality Home Care & Transportation | Transportation Broker | 93 W Selden St, Mattapan, MA 02126 | 2015-04-30 |
| 1205101565 | Clayton Mark Sandiford | Contractor | 22 Banfield Ave, Boston, MA 02126 | 2012-03-19 |
| 1790093128 | Richard Christopher Mitchell Jr. | Counselor | 32 Wellington Hill St, Mattapan, MA 02126 | 2010-09-20 |
| 1972630622 | Gemima St. Louis | Psychologist | 255 River St, Spark Center-bmc, Mattapan, MA 02126 | 2007-02-28 |
| Find all providers in zip 02126 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447609938 | Physical Therapy of Mattapan Square, LLC | Clinic/Center | 1596 Blue Hill Ave, Mattapan, MA 02126-2121 | 2016-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518448 | Shira Lauren Dragun | Clinic/Center | 63 1/2 Jefferson Ave, Salem, MA 01970-2975 | 2020-11-03 |
| 1518564566 | Ann Pappas Physical Therapy | Clinic/Center | 470 Washington St Ste 31, Norwood, MA 02062-2343 | 2020-10-02 |
| 1538786272 | Neurologic Optimal Wellness Physical Therapy LLC | Clinic/Center | 180 King St, Springfield, MA 01109-4316 | 2020-06-29 |
| 1689297525 | Full Spectrum Physical Therapy and Performance, LLC | Clinic/Center | 17 Cannongate Rd Apt 83, Tyngsboro, MA 01879-1413 | 2020-05-27 |
| 1992328421 | Adam Auto Accident Physio Doctor,inc | Clinic/Center | 1011 Beacon St Ste 1, Brookline, MA 02446-5696 | 2020-05-19 |
| 1952938839 | Jessica Moy Wellness LLC | Clinic/Center | 255 Massachusetts Ave Apt 204, Boston, MA 02115-3511 | 2020-03-23 |
| 1598390940 | The Method Performance and Physical Therapy LLC | Clinic/Center | 378 North St Apt 2, Boston, MA 02113-2143 | 2020-03-05 |
| 1104458785 | Olender Physical Therapy, LLC | Clinic/Center | 316 Washington St Ste 1, Wellesley, MA 02481-4959 | 2020-02-11 |
| 1851930028 | Core Physical Therapy & Performance, LLC | Clinic/Center | 11 Randolph Rd, Randolph, MA 02368-4321 | 2020-01-05 |
| 1316585482 | Healthworks Med Group of Massachusetts P C | Clinic/Center | 157 Berkeley St, Boston, MA 02116-5108 | 2019-12-19 |
| Find all providers with the same taxonomy | ||||
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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.