PERSONAL PT (NPI# 1790331064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790331064 |
| Entity Type | Organization |
| Organization Name | PERSONAL PT |
| Practice Address |
87 Gainsborough St Apt 408 Boston MA 02115-6537 |
| Practice Telephone | 9082299251 |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-22 |
| Authorized Official Name | SARA ANSARI (OWNER/PRESIDENT) |
| Authorized Official Telephone | 6176571197 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TYPE I NPI | 1053702068 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770897803 | Personal Pt | Physical Therapist | 2174 Sunrise Cir, Park City, UT 84060-7409 | 2010-07-30 |
| Street Address |
87 GAINSBOROUGH ST APT 408 |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-6537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053702068 | Sara Ansari | Physical Therapist | 87 Gainsborough St Apt 408, Boston, MA 02115-6537 | 2015-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487291928 | Michael Micco | Physical Therapist | 70 Day St Apt 2, Boston, MA 02130-1191 | 2019-12-03 |
| 1801252317 | Melissa Mae Hines | Physical Therapist | 364 Boylston St, Boston, MA 02116-3806 | 2016-01-13 |
| 1487877585 | Jennifer Guerin | Physical Therapist | 11 Belvidere St Apt 4, Boston, MA 02115-3143 | 2007-04-10 |
| 1144310210 | Dustienne Miller | Physical Therapist | 262 Beacon St Ste 5, Boston, MA 02116-1295 | 2006-10-12 |
| 1659372324 | Marco Volpe | Physical Therapist | 28 Atlantic Ave, 125 Lewis Wharf, Boston, MA 02110-3926 | 2005-08-03 |
| 1831722305 | Adam Schmidt | Physical Therapist | 15 Parkman St Ste 128, Boston, MA 02114-3117 | 2020-02-12 |
| 1528608049 | Emma Zeligson | Physical Therapist | 915 Commonwealth Ave Rear, Boston, MA 02215-1394 | 2020-01-13 |
| 1861973588 | Caleigh Marie O'brien | Physical Therapist | 915 Commonwealth Ave, Boston, MA 02215-1394 | 2018-08-22 |
| 1649797002 | Jessica Moy | Physical Therapist | 4 Water St, Boston, MA 02109 | 2017-08-26 |
| 1275081168 | Jeffrey Leblanc | Physical Therapist | 811 Massachusetts Ave, Boston, MA 02118-2605 | 2016-09-20 |
| Find all providers in BOSTON | ||||
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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.