BOSTON SPINE AND PERFORMANCE, LLC (NPI# 1285251413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285251413 |
| Entity Type | Organization |
| Organization Name | BOSTON SPINE AND PERFORMANCE, LLC |
| Practice Address |
665 Boylston St Ste 3 Boston MA 02116-4825 |
| Mailing Address |
14 Clarendon St Apt 402 Boston MA 02116-6145 |
| Practice Telephone | 7742019878 |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2020-07-03 |
| Authorized Official Name | SARA GAGNE (OWNER) |
| Authorized Official Telephone | 7742019878 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
665 BOYLSTON ST STE 3 |
| City | BOSTON |
| State | MA |
| Zip Code | 02116-4825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073845525 | Timothy Richard Latham | Chiropractor | 665 Boylston St Ste 3, Boston, MA 02116-4825 | 2010-02-09 |
| 1659860880 | Jillian M Greaves | Dietitian, Registered | 665 Boylston St Ste 3, Boston, MA 02116-4825 | 2018-05-03 |
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144460478 | Bay State Medical Associates, PC | Clinic/Center | 425 Boylston St, Suite 310, Boston, MA 02116-3315 | 2009-02-26 |
| 1720226012 | Simmons College Health Center | Clinic/Center | 94 Pilgrim Road, Simmons College Health Center, Boston, MA 02115 | 2009-01-26 |
| 1306991088 | Sidney Borum Jr. Health Center | Clinic/Center | 130 Boylston St, Boston, MA 02116-4608 | 2007-01-24 |
| 1144575093 | Simmons College Health Center | Clinic/Center | 94 Pilgrim Rd, Boston, MA 02215-4127 | 2012-07-17 |
| 1891961033 | University Health Services | Clinic/Center | 100 Morrissey Blvd, Quinn Administration Building Health Services, Boston, MA 02125-3393 | 2008-05-07 |
| 1164590634 | Brigham and Women's Hospital | Clinic/Center | 75 Francis St, Tower 2, Nutrition Services, Boston, MA 02115-6110 | 2006-12-01 |
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| 1821626763 | Renewal Integrative Psychotherapies LLC | Clinic/Center | 90 Madison St Ste 502, Worcester, MA 01608-2058 | 2020-03-27 |
| 1477184216 | Wellpoint Healing Center, Inc | Clinic/Center | 175 Derby St Ste 18a, Hingham, MA 02043-4051 | 2020-01-30 |
| 1073078531 | Body Dynamics Nutrition | Clinic/Center | 11 Apex Dr, Marlborough, MA 01752-1858 | 2019-02-08 |
| 1194214742 | Norwood Dental Sleep Medicine LLC | Clinic/Center | 100 Day St, Norwood, MA 02062-2125 | 2018-05-08 |
| 1356843890 | Family Eyecare Solutions LLC | Clinic/Center | 51 Mill St Bldg E, Hanover, MA 02339-1641 | 2018-03-01 |
| 1326587288 | Nicole Marie Kantor | Clinic/Center | 182 Church St Apt 3, Newton, MA 02458-1962 | 2017-02-13 |
| 1043757115 | Neurosportelite North Boston, LLC | Clinic/Center | 78 Olympia Ave, Woburn, MA 01801-2057 | 2017-01-26 |
| 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.