PRECISION PHYSICAL THERAPY & SPORTS MEDICINE (NPI# 1588678312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588678312 |
| Entity Type | Organization |
| Organization Name | PRECISION PHYSICAL THERAPY & SPORTS MEDICINE |
| Practice Address |
5 High St Suite 203 Medford MA 02155-3860 |
| Practice Telephone | 7813957333 |
| Practice Fax Number | 7813957331 |
| Mailing Telephone | 7813957333 |
| Mailing Fax Number | 7813957331 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DOMENIC X VISOCCHI (OWNER PRESIDENT) |
| Authorized Official Telephone | 7813957333 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
15414 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS | 698184 | 01 |
| Street Address |
5 HIGH ST SUITE 203 |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-3860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410814 | Danielle Madden | Counselor | 5 High St, Medford, MA 02155-3860 | 2020-09-08 |
| 1881242824 | Rosalee Mara Heaney-balf | Social Worker | 5 High St, Medford, MA 02155-3860 | 2019-09-03 |
| 1629636840 | Genevieve Gleich | Social Worker | 5 High St, Medford, MA 02155-3860 | 2019-06-03 |
| 1043773492 | Samara Muniz Soares | Counselor | 5 High St, Medford, MA 02155-3860 | 2019-04-12 |
| 1255813440 | Kelsey Lynne Keefe | Social Worker | 5 High St, Medford, MA 02155-3860 | 2018-09-04 |
| 1992224851 | Andy Chen | Social Worker | 5 High St, Medford, MA 02155 | 2017-09-12 |
| 1891934352 | Karyn L Carey | Physical Medicine & Rehabilitation | 5 High St, Suite 203, Medford, MA 02155-3860 | 2009-02-06 |
| 1407037427 | Ann Brady | Physical Therapist | 5 High St, Suite 203, Medford, MA 02155-3860 | 2007-11-19 |
| 1639183445 | Domenic Visocchi | Physical Therapist | 5 High St, Suite 203, Medford, MA 02155-3860 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650864 | David Edison Harris | Physical Medicine & Rehabilitation | 707 Murphy Rd Ste 101, Medford, OR 97504-8520 | 2020-05-16 |
| 1750675294 | Chioce Medical & Diagnositc Services PC | Physical Medicine & Rehabilitation | 854 Birchwood Rd, Medford, NY 11763-1202 | 2011-06-01 |
| 1841535929 | Triange Medical Care, P.C. | Physical Medicine & Rehabilitation | 570 Expressway Dr S, 2c, Medford, NY 11763-2049 | 2012-11-30 |
| 1891934352 | Karyn L Carey | Physical Medicine & Rehabilitation | 5 High St, Suite 203, Medford, MA 02155-3860 | 2009-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013073949 | Joshua T Yurfest | Physical Medicine & Rehabilitation | 44 Charles St, Pittsfield, MA 01201-3302 | 2006-12-28 |
| 1861447955 | David A.n. Siegel | Physical Medicine & Rehabilitation | 294 First Street, Pittsfield, MA 01201 | 2006-05-24 |
| 1144208695 | Jay E Rosenfeld | Physical Medicine & Rehabilitation | 311 Service Road, East Sandwich, MA 02563-1370 | 2006-01-05 |
| 1427052703 | Joseph J. Doerr | Physical Medicine & Rehabilitation | 67 Grand Army Hwy, Somerset, MA 02726-1220 | 2005-06-02 |
| 1821090119 | David Mark Grygier | Physical Medicine & Rehabilitation | 24 Park St, Pittsfield, MA 01201-4037 | 2005-06-01 |
| 1477164291 | Nexus Spine Care | Physical Medicine & Rehabilitation | 483 Holyoke St, Ludlow, MA 01056-1934 | 2020-08-14 |
| 1578101572 | Orthopedics New England, Inc | Physical Medicine & Rehabilitation | 1 Lumber St, Hopkinton, MA 01748-2363 | 2019-12-20 |
| 1396112405 | Orthopedics New England, LLC | Physical Medicine & Rehabilitation | 313 Speen St, Natick, MA 01760-1538 | 2015-08-24 |
| 1811245822 | Syed Hazique Mahmood | Physical Medicine & Rehabilitation | 1 Brookline Place, Arnold Warfield Pain Center, Brookline, MA 02445-1200 | 2012-08-22 |
| 1437448164 | Derek S Saltzman | Physical Medicine & Rehabilitation | 651 Orchard St, Suite 202a, New Bedford, MA 02744 | 2011-04-04 |
| 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.