AGILITY WPHO-THP INC (NPI# 1174072557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174072557 |
| Entity Type | Organization |
| Organization Name | AGILITY WPHO-THP INC |
| Other Organization Name | AGILITY ORTHOPEDICS |
| Practice Address |
92 Montvale Ave Suite 1400 Stoneham MA 02180-3647 |
| Practice Telephone | 7812797040 |
| Practice Fax Number | 7812798430 |
| Mailing Telephone | 7812797040 |
| Mailing Fax Number | 7812798430 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | DR. ABRAHAM SHURLAND (PARTNER/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 7812797040 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD | M12363 | 01 |
| Other Name | Type Code |
|---|---|
| Agility Orthopedics | Doing Business As Name - Organization |
| Street Address |
92 MONTVALE AVE SUITE 1400 |
| City | STONEHAM |
| State | MA |
| Zip Code | 02180-3647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215921309 | Denis P Byrne | Specialist | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3647 | 2005-09-06 |
| 1619419199 | Caitlin Leary | Physical Therapist | 92 Montvale Ave, Stoneham, MA 02180 | 2016-11-15 |
| 1316494230 | Lyle Edward Morgan | Physical Therapy Assistant | 92 Montvale Ave, 1100, Stoneham, MA 02180-3647 | 2016-09-08 |
| 1588051874 | Commonwealth Pediatrics, LLC | Clinic/Center | 92 Montvale Ave, Stoneham, MA 02180-3647 | 2015-04-24 |
| 1568865194 | Elizabeth Mcnichol | Dermatology | 92 Montvale Ave, Suite 3000, Stoneham, MA 02180-3647 | 2014-09-26 |
| 1710315494 | Michael Bader Md PC | Internal Medicine | 92 Montvale Ave, Suite 3700, Stoneham, MA 02180-3647 | 2013-10-16 |
| 1720320377 | Dr. Mickey's Orthodontics, L.L.C. | Dentist | 92 Montvale Ave, Suite 4300, Stoneham, MA 02180-3647 | 2013-03-21 |
| 1114269099 | Jean Wyatt Gee | Nurse Practitioner | 92 Montvale Ave, 4605, Stoneham, MA 02180-3647 | 2013-03-19 |
| 1093080830 | Kimberly B Tighe | Physician Assistant | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3647 | 2012-03-13 |
| 1912278441 | Orthopedic Surgery Inc | Occupational Therapist | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180 | 2012-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073092839 | Ann M Campbell | Social Worker | 490 William St, Stoneham, MA 02180 | 2018-08-12 |
| 1669997243 | Melissa Meskell, Lmhc | Clinic/Center | 38 Montvale Avenue Suite 327, Stoneham, MA 02180 | 2017-08-04 |
| 1033593306 | Melissa Zeitlin | Counselor | 178 North St, Stoneham, MA 02180 | 2015-07-16 |
| 1053708370 | Michael Stangler | Dentist | 2 Main St Ste 225, Stoneham, MA 02180 | 2015-04-24 |
| 1699086397 | Kimberly Y Chin | Acupuncturist | 105 Marble Street, Apt 7, Stoneham, MA 02180 | 2010-06-28 |
| 1538305446 | John Nyaga Njine | Registered Nurse | 5 Glen Rd, Apt 110, Stoneham, MA 02180 | 2008-12-23 |
| 1427189000 | Stoneham Public Schools | Local Education Agency (LEA) | 149 Franklin St., Stoneham, MA 02180 | 2007-03-08 |
| 1487715181 | Bernard J Augot, Jr. | Acupuncturist | Acupuncture Health Care Ctr., 370 Main Street, Stoneham, MA 02180 | 2006-12-13 |
| 1730257684 | Advantage Sports Medicine & Physical Therapy,inc. | Physical Therapist | 245 North Street, Stoneham, MA 02180 | 2006-11-30 |
| 1851465538 | Town of Stoneham | Public Health or Welfare | 35 Central Street, Stoneham, MA 02180 | 2006-11-17 |
| Find all providers in zip 02180 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629276894 | Sharon M Fraas | Specialist | 19 Cedar Ave, Stoneham, MA 02180-2420 | 2007-07-10 |
| 1548213606 | Mystic Valley Dermatology Associates, P.C. | Specialist | 92 Montvale Ave Ste 3000, Stoneham, MA 02180-3658 | 2006-05-18 |
| 1215921309 | Denis P Byrne | Specialist | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3647 | 2005-09-06 |
| 1205166048 | Orthopedic Surgery, Inc | Specialist | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3647 | 2009-12-29 |
| 1912236506 | Cardone Reproductive Medicine & Infertility | Specialist | 2 Main St, Suite 150, Stoneham, MA 02180-3335 | 2009-12-10 |
| 1447588520 | Robert S. Pastan, Md | Specialist | 3 Woodland Rd, Suite 413, Stoneham, MA 02180-1702 | 2009-11-30 |
| 1538232350 | Stephen B Jamison | Specialist | 91 Montvale Ave, Stoneham, MA 02180-3623 | 2006-11-17 |
| 1134196686 | Donald J. Grande | Specialist | 92 Montvale Ave, Suite 3000, Stoneham, MA 02180-3647 | 2006-03-03 |
| 1467429274 | W Zoe D Stitt | Specialist | 92 Montvale Ave, Suite 3000, Stoneham, MA 02180-3647 | 2006-03-01 |
| 1104890268 | Peter Ellzey Gee | Specialist | 92 Montvale Ave, Stoneham, Stoneham, MA 02180-3647 | 2006-02-15 |
| Find all providers in STONEHAM | ||||
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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.