SHALOM PHYSICAL THERAPY, LLC (NPI# 1871149583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871149583 |
| Entity Type | Organization |
| Organization Name | SHALOM PHYSICAL THERAPY, LLC |
| Practice Address |
78 Bennington St Boston MA 02128-1704 |
| Practice Telephone | 8572226510 |
| Mailing Telephone | 8572226510 |
| Enumeration Date | 2019-08-18 |
| Last Update Date | 2019-08-18 |
| Authorized Official Name | MIRZA LOPEZ (MEMBER/MANAGER) |
| Authorized Official Telephone | 8572226510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
78 BENNINGTON ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02128-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417562976 | Kristen Pompey | Speech-Language Pathologist | 244 Paris St Apt 3e, East Boston, MA 02128 | 2020-09-11 |
| 1073122271 | Candice Elene Newmyer | Nurse Practitioner | East Boston Neighborhood Health Center, 10 Gove St, East Boston, MA 02128 | 2020-07-24 |
| 1881155414 | Lucas Felipe Bastos Horta | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Shapiro Primary Care, Precepting Room, Boston, MA 02128 | 2019-03-27 |
| 1245729763 | Josie A Kramer | Registered Nurse | 213 Webster Street, Unit 1, Boston, MA 02128 | 2018-05-10 |
| 1457875775 | Bremen Physical Therapy | Clinic/Center | 464 Bremen St. Suite 4b, East Boston, MA 02128 | 2017-07-28 |
| 1174907588 | Vivian Karina Ibanez | Specialist | 130 Condor Street, East Boston, MA 02128 | 2015-07-15 |
| 1326459546 | Excel Physical Therapy, Inc. | Clinic/Center | 2 Neptune Rd Suite 171, East Boston, MA 02128 | 2014-05-09 |
| 1427394824 | D.a.w., L.L.C. | Durable Medical Equipment & Medical Supplies | 20 Maverick Sq, East Boston, MA 02128 | 2012-12-13 |
| 1356600019 | Rebekah Bronwyn Sheppard | Doula | 253 Webster Street, Boston, MA 02128 | 2012-05-15 |
| 1629340484 | Shahi Lavail Smart Sr. | Counselor | 512 Border Street, #d, East Boston, MA 02128 | 2012-02-08 |
| Find all providers in zip 02128 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1316585482 | Healthworks Med Group of Massachusetts P C | Clinic/Center | 157 Berkeley St, Boston, MA 02116-5108 | 2019-12-19 |
| 1992205868 | Maximize Your Mobility LLC | Clinic/Center | 292 Newbury St Ste 317, Boston, MA 02115-2801 | 2018-02-17 |
| 1144745902 | Sustained Fitness LLC | Clinic/Center | 581 Boylston St Ste 404, Boston, MA 02116-3624 | 2017-08-13 |
| 1407395916 | District Physical Therapy & Wellness | Clinic/Center | 9 Earl St, Boston, MA 02127-2532 | 2017-02-16 |
| 1366685257 | Mullis and Associates Physical Therapy, Inc. | Clinic/Center | 811 Massachusetts Ave, Suite 100, Boston, MA 02118-2605 | 2009-04-08 |
| 1235763327 | Wellest Integrative Health LLC | Clinic/Center | 142 Berkeley St Ste 402, Boston, MA 02116-5100 | 2020-02-27 |
| 1962986166 | Flourish Physical Therapy, LLC | Clinic/Center | 262 Beacon St Ste 5, Boston, MA 02116-1295 | 2018-09-24 |
| 1053823948 | Refresh Physical Therapy LLC | Clinic/Center | 45 School St, Boston, MA 02108-3206 | 2017-10-31 |
| Find all providers in BOSTON | ||||
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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.