KENNEDY BROTHERS PHYSICAL THERAPY (NPI# 1811063803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811063803 |
| Entity Type | Organization |
| Organization Name | KENNEDY BROTHERS PHYSICAL THERAPY |
| Practice Address |
505 Boylston St Boston MA 02116 |
| Practice Telephone | 6172662664 |
| Practice Fax Number | 6172662674 |
| Mailing Telephone | 6172662664 |
| Mailing Fax Number | 6172662674 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | OLGA GERTS (OFFICE MANAGER) |
| Authorized Official Telephone | 6172662664 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS PIN | 717236 | 01 |
| MA | HARVARD PILGRIM PIN | 605690 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235359951 | Kennedy Brothers Physical Therapy | Physical Therapist | 25 Braintree Hill Park, Braintree, MA 02184-8702 | 2007-04-26 |
| 1013135441 | Kennedy Brothers Physical Therapy | Physical Therapist | 311 Arsenal St, Watertown, MA 02472-2782 | 2007-04-23 |
| 1780707992 | Kennedy Brothers Physical Therapy | Clinic/Center | 653 Summer St, Boston, MA 02210-2108 | 2007-04-10 |
| 1205985074 | Kennedy Brothers Physical Therapy | Physical Therapist | 45 Franklin St, Boston, MA 02110-1334 | 2007-01-09 |
| Street Address |
505 BOYLSTON ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144375486 | Kathryn E Cortelyou | Physical Therapist | 505 Boylston St, Boston, MA 02116-3703 | 2007-01-25 |
| 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 Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558659482 | Jennifer Luz | Physical Medicine & Rehabilitation | 736 Cambridge St, Boston, MA 02135-2907 | 2011-07-12 |
| 1871721258 | Cheri Blauwet | Physical Medicine & Rehabilitation | 75 Francis St, Boston, MA 02115-6110 | 2009-06-24 |
| 1720228117 | Preeti Subramanya Shastri | Physical Medicine & Rehabilitation | 330 Brookline Ave, Stoneman 10, Boston, MA 02215-5400 | 2009-02-25 |
| 1023265311 | John-paul David Hezel | Physical Medicine & Rehabilitation | 330 Brookline Ave, Stoneman 10, Boston, MA 02215-5400 | 2008-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777535 | Kristina M Rossignoll | Physical Medicine & Rehabilitation | 14 Rutledge Rd, Peabody, MA 01960-3424 | 2020-10-13 |
| 1790277150 | Amelia N Houghton | Physical Medicine & Rehabilitation | 25 Taunton St, Plainville, MA 02762-2188 | 2018-06-01 |
| 1659886968 | Tessa Riccio | Physical Medicine & Rehabilitation | 1681 Washington St Ste 1, Braintree, MA 02184-7951 | 2017-12-08 |
| 1851823165 | Lauren Wilmot | Physical Medicine & Rehabilitation | 102 Shore Dr Ste 104, Worcester, MA 01605-3154 | 2017-03-28 |
| 1750567236 | James Mcghee | Physical Medicine & Rehabilitation | 721 East Falmouth Highway, East Falmouth, MA 02536 | 2008-01-15 |
| 1386680809 | Jesse Lee Dimick | Physical Medicine & Rehabilitation | 43 Redlands Rd, West Roxbury, MA 02132-1506 | 2006-06-22 |
| 1407824576 | Maurice R Bernaiche | Physical Medicine & Rehabilitation | 483 Holyoke St, Ludlow, MA 01056-1934 | 2006-03-14 |
| 1316547201 | Michelle Jane Mailloux | Physical Medicine & Rehabilitation | 484 Main St Ste 600, Worcester, MA 01608-1881 | 2020-10-29 |
| 1811597123 | Jennifer Hahne | Physical Medicine & Rehabilitation | 7 Reservoir Rd, Beverly, MA 01915-5501 | 2020-10-27 |
| 1134735392 | Meredith Celine Harrington | Physical Medicine & Rehabilitation | 110 Liberty St, Brockton, MA 02301-5674 | 2020-09-22 |
| 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.