SPINE AND SPORTS PHYSICAL THERAPY LLC (NPI# 1841471976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841471976 |
| Entity Type | Organization |
| Organization Name | SPINE AND SPORTS PHYSICAL THERAPY LLC |
| Practice Address |
150 Rumford Ave Apt 404 Mansfield MA 02048-2150 |
| Practice Telephone | 6179707881 |
| Mailing Telephone | 6179707881 |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |
| Authorized Official Name | STEPHEN F NESTOR III (PHYSICAL THERAPIST/OWNER) |
| Authorized Official Telephone | 6179707881 |
| Authorized Official Credential | DPT, COMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
10934 | MA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | SPINE AND SPORTS PHYSICAL THERAPY LLC | 9 Ethan Allen Highway, Floor 2 North and South, Ridgefield, CT 06877 |
| Street Address |
150 RUMFORD AVE APT 404 |
| City | MANSFIELD |
| State | MA |
| Zip Code | 02048-2150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386293181 | Taylor Dabney | Specialist/Technologist | 1912 Francis Ave, Station Pointe Apt, Mansfield, MA 02048 | 2019-09-05 |
| 1720643935 | Emily Cecilia Pavidis | Doula | 1705 West Street, Mansfield, MA 02048 | 2019-05-02 |
| 1942784244 | Mary Rego Perry | Social Worker | 19 North White Pine Lane, Mansfield, MA 02048 | 2018-09-21 |
| 1306341078 | Danielle Haradon | Student in an Organized Health Care Education/Training Program | 42 Fieldstone Drve, Mansfield, MA 02048 | 2018-03-26 |
| 1750882353 | Mansfield Physical Therapy & Wellness LLC | Physical Therapist | 200 Chauncy St Ste 4, Mansfield, MA 02048 | 2018-02-28 |
| 1548671498 | Angela Silva | Developmental Therapist | 73 Elyse Rd, Mansfield, MA 02048 | 2014-05-14 |
| 1700123049 | Christy Kelly Ciccariello | Pediatrics | 4 Samoset Way, Mansfield, MA 02048 | 2013-01-07 |
| 1659620292 | Deirdre J Manning | Physical Therapist | 31 Oxford Road, Mansfield, MA 02048 | 2012-08-29 |
| 1043514706 | Carpen, Inc. | Health Maintenance Organization | 287 School St., Mansfield, MA 02048 | 2011-01-10 |
| 1295062545 | Theresa Melchionna Rhein | Social Worker | 450 Chauncy Street, Mansfield, MA 02048 | 2009-11-06 |
| Find all providers in zip 02048 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
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| 1124020979 | Physical Therapy of Mansfield,llc | Clinic/Center | 1580 Highway 287 N, 1580 Hwy 287 N, Mansfield, TX 76063-7593 | 2005-08-11 |
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| 1982118345 | Atlas Pt | Clinic/Center | 625 Cline Ave, Mansfield, OH 44907-1038 | 2017-11-21 |
| 1164963807 | Clt Rentals, LLC | Clinic/Center | 990 Highway 287 N, Suite 105, Mansfield, TX 76063-2607 | 2017-03-14 |
| 1457700551 | Tioga Health Care Providers, Inc | Clinic/Center | 416 S Main St, Mansfield, PA 16933-1510 | 2016-06-09 |
| 1871929323 | On The Go Therapy LLC | Clinic/Center | 109 N Main St, #102, Mansfield, OH 44902-7669 | 2013-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518448 | Shira Lauren Dragun | Clinic/Center | 63 1/2 Jefferson Ave, Salem, MA 01970-2975 | 2020-11-03 |
| 1518564566 | Ann Pappas Physical Therapy | Clinic/Center | 470 Washington St Ste 31, Norwood, MA 02062-2343 | 2020-10-02 |
| 1538786272 | Neurologic Optimal Wellness Physical Therapy LLC | Clinic/Center | 180 King St, Springfield, MA 01109-4316 | 2020-06-29 |
| 1689297525 | Full Spectrum Physical Therapy and Performance, LLC | Clinic/Center | 17 Cannongate Rd Apt 83, Tyngsboro, MA 01879-1413 | 2020-05-27 |
| 1992328421 | Adam Auto Accident Physio Doctor,inc | Clinic/Center | 1011 Beacon St Ste 1, Brookline, MA 02446-5696 | 2020-05-19 |
| 1952938839 | Jessica Moy Wellness LLC | Clinic/Center | 255 Massachusetts Ave Apt 204, Boston, MA 02115-3511 | 2020-03-23 |
| 1598390940 | The Method Performance and Physical Therapy LLC | Clinic/Center | 378 North St Apt 2, Boston, MA 02113-2143 | 2020-03-05 |
| 1104458785 | Olender Physical Therapy, LLC | Clinic/Center | 316 Washington St Ste 1, Wellesley, MA 02481-4959 | 2020-02-11 |
| 1851930028 | Core Physical Therapy & Performance, LLC | Clinic/Center | 11 Randolph Rd, Randolph, MA 02368-4321 | 2020-01-05 |
| 1316585482 | Healthworks Med Group of Massachusetts P C | Clinic/Center | 157 Berkeley St, Boston, MA 02116-5108 | 2019-12-19 |
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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.