BROADWAY PHYSICAL THERAPY, INC. (NPI# 1396813689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396813689 |
| Entity Type | Organization |
| Organization Name | BROADWAY PHYSICAL THERAPY, INC. |
| Practice Address |
185 Squire Rd Revere MA 02151-1234 |
| Practice Telephone | 7812840559 |
| Practice Fax Number | 7812840698 |
| Mailing Telephone | 7812840559 |
| Mailing Fax Number | 7812840698 |
| Enumeration Date | 2006-12-03 |
| Last Update Date | 2009-06-19 |
| Authorized Official Name | MR. PHILIP GAROFALO (OWNER DIRECTOR) |
| Authorized Official Telephone | 6175933176 |
| Authorized Official Credential | PTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932106416 | Broadway Physical Therapy, Inc. | Home Health | 4950 Broadway, Suite C, Gary, IN 46408-4605 | 2005-06-30 |
| Street Address |
185 SQUIRE RD |
| City | REVERE |
| State | MA |
| Zip Code | 02151-1234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306479142 | James Agostinelli | Physical Therapy Assistant | 185 Squire Rd, Revere, MA 02151-1234 | 2020-02-20 |
| 1679118632 | Wells Physical Therapy & Associates | Clinic/Center | 185 Squire Rd, Revere, MA 02151-1234 | 2019-11-14 |
| 1861998734 | Prasanna Kommu | Physical Therapist | 185 Squire Rd, Revere, MA 02151-1234 | 2018-04-01 |
| 1407297161 | Latanya Beatrice Lemon | Physical Therapy Assistant | 185 Squire Rd, Revere, MA 02151-1234 | 2013-07-10 |
| 1033550967 | Pamela Jean Iapicca | Physical Therapy Assistant | 185 Squire Rd, Revere, MA 02151-1234 | 2013-07-08 |
| 1699010843 | Pamela Silvia | Physical Therapist | 185 Squire Rd, Revere, MA 02151-1234 | 2012-11-28 |
| 1124294566 | Philip J Garofalo | Physical Therapy Assistant | 185 Squire Rd, Revere, MA 02151-1234 | 2008-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558853580 | Carla Richman | Behavioral Analyst | 29 Arnold Street, Revere, MA 02151 | 2018-06-05 |
| 1558859850 | Citizens Physical Therapy Inc | Clinic/Center | 221 Beach St, Revere, MA 02151 | 2018-04-23 |
| 1396254892 | Holness Home Care | Home Health | 959 Revere Beach Parkway, Revere, MA 02151 | 2017-09-27 |
| 1841709938 | Stefanie Finocchio-durham | Acupuncturist | 107 Pearl Ave, Apt 3, Revere, MA 02151 | 2017-09-21 |
| 1174064265 | Hope Noelle Crowe | Behavioral Analyst | 164 Winthrop Parkway, Revere, MA 02151 | 2017-03-09 |
| 1033660469 | Driss Bahraoui | Interpreter | 21 Thornton St #1, Revere, MA 02151 | 2016-10-20 |
| 1568910081 | Lindsey J. Ellermeyer | Student in an Organized Health Care Education/Training Program | Revere Community Counseling, 265 Beach Street, Revere, MA 02151 | 2016-09-13 |
| 1851743470 | Jacqueline Galvez | Counselor | 252 Proctor Ave # 3, Revere, MA 02151 | 2016-07-07 |
| 1518321090 | Kathleen Elizabeth Pellecchia | Health Educator | 454 Broadway Fl 3, Revere, MA 02151 | 2016-04-11 |
| 1780098814 | David A Gross | Internal Medicine | Mgh Revere, 385 Broadway, Revere, MA 02151 | 2014-06-17 |
| Find all providers in zip 02151 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649800442 | Oceanside Physical Therapy and Wellness Center Inc. | Physical Therapist | 364 Ocean Ave Ste C-102, Revere, MA 02151-2629 | 2020-01-21 |
| 1962885418 | Sabina Dautovic | Physical Therapist | 190 N Shore Rd, Apt 407, Revere, MA 02151-1617 | 2015-07-01 |
| 1972773679 | Tracy Sterlock Rochester | Physical Therapist | 297 Mountain Ave, Revere, MA 02151-4911 | 2008-03-10 |
| 1962629378 | Kevin Arthur Cummings | Physical Therapist | Cummings Physical Therapy, 425 Revere St, Revere, MA 02151 | 2007-04-19 |
| 1477697308 | William George Chapman | Physical Therapist | 76 Shirley Ave., Revere, MA 02151 | 2007-02-16 |
| 1942361407 | Jessica Rothwell Harriman | Physical Therapist | 76 Shirley Ave, Revere, MA 02151-5102 | 2006-12-12 |
| 1902880883 | Clifford Angco Gaviola | Physical Therapist | 372 Broadway, Revere, MA 02151-5016 | 2005-12-03 |
| 1073137287 | Jeremy Lichtman | Physical Therapist | 300 Ocean Ave, Revere, MA 02151-3675 | 2020-06-03 |
| 1326697707 | Marie Long | Physical Therapist | 425 Revere St, Revere, MA 02151-4543 | 2019-09-09 |
| 1063977734 | Joseph Michael Czupryna | Physical Therapist | 300 Ocean Ave, Revere, MA 02151-3675 | 2019-02-06 |
| Find all providers in REVERE | ||||
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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.