BROOKSBY VILLAGE INC (NPI# 1396818688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396818688 |
Entity Type | Organization |
Organization Name | BROOKSBY VILLAGE INC |
Other Organization Name | OUTPATIENT REHABILITATION CLINIC AT BROOKSBY |
Practice Address |
302 Brooksby Village Drive Attn: Rehabilitation Manager Peabody MA 01960-8563 |
Mailing Address |
100 Brooksby Village Dr Attn: Executive Director Peabody MA 01960-1438 |
Practice Telephone | 9785362150 |
Practice Fax Number | 4102047237 |
Mailing Telephone | 9785362150 |
Mailing Fax Number | 4102047237 |
Enumeration Date | 2006-11-16 |
Last Update Date | 2015-01-15 |
Authorized Official Name | CHRISTPHER J RATHMANN (ASSISTANT TREASURER) |
Authorized Official Telephone | 4104022390 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
48CI | MA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Outpatient Rehabilitation Clinic at Brooksby | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679696835 | Brooksby Village Inc | Home Health | 300 Brooksby Village Dr, Attn: Home Health Administrator, Peabody, MA 01960-1445 | 2007-04-10 |
Street Address |
302 BROOKSBY VILLAGE DRIVE ATTN: REHABILITATION MANAGER |
City | PEABODY |
State | MA |
Zip Code | 01960-8563 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
Find all providers in zip 01960 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
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---|---|---|---|---|
1104350032 | United Hand and Rehabilitation Services Inc. | Clinic/Center | 119r Foster St, Peabody, MA 01960-5975 | 2017-04-18 |
1629166905 | Physiotherapy Associates Inc | Clinic/Center | 1 Orthopedic Dr, Peabody, MA 01960-1668 | 2006-10-11 |
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1750784161 | Genesis Healthcare | Clinic/Center | 4380 N Main St, Fall River, MA 02720-1711 | 2014-09-29 |
1396168639 | Transitions In Motion, LLC | Clinic/Center | 162 Shea Ave, Belchertown, MA 01007-9329 | 2014-01-22 |
1235560699 | Preferred Therapy Solutions,llc | Clinic/Center | 10 Cudworth Rd, Webster, MA 01570-3100 | 2013-12-10 |
1063658946 | Rehabilitation Associates, Inc. | Clinic/Center | 80 Access Rd, Norwood, MA 02062-5237 | 2008-12-26 |
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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.