Andrew J Provost (NPI# 1962795583, PAC ID# 3375720709) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1962795583 |
| PAC ID by PECOS | 3375720709 |
| Professional Enrollment ID | I20121207000065 |
| Full Name | Andrew J Provost |
| Organization Legal Name | BOSTON SPORTS MEDICINE INC |
| Address |
1 Braintree St St Allston MA 02134-1956 |
| Phone Number | 6177878700 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9032163985 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1 Braintree St St, Allston, MA 02134-1956 | 6177878700 | BOSTON SPORTS MEDICINE INC |
| Organization Legal Name | BOSTON SPORTS MEDICINE INC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsea F Brown | Physical Therapy | Boston Sports Medicine Inc | 36 Arlington St, Watertown, MA 02472-5001 |
| Samantha R Verost | Physical Therapy | Boston Sports Medicine Inc | 54 Harvard St, Brookline, MA 02445-7940 |
| Erin K Smith | Physical Therapy | Boston Sports Medicine Inc | 1 Braintree St St, Allston, MA 02134-1956 |
| Lauren M Lozier | Physical Therapy | Boston Sports Medicine Inc | 259 Elm St, Suite 204, Somerville, MA 02144-2950 |
| Shira L Dragun | Physical Therapy | Boston Sports Medicine Inc | 503 Humphrey St, Swampscott, MA 01907-2618 |
| Daniel Purcell | Physical Therapy | Boston Sports Medicine Inc | 1 Braintree St St, Allston, MA 02134-1956 |
| Elyse A Harrop | Physical Therapy | Boston Sports Medicine Inc | 1 Braintree St St, Allston, MA 02134-1956 |
| Meaghan Mulqueen Harwood | Physical Therapy | Boston Sports Medicine Inc | 1 Braintree St St, Allston, MA 02134-1956 |
| Marisa L Frank | Physical Therapy | Boston Sports Medicine Inc | 259 Elm St, Suite 204, Somerville, MA 02144-2950 |
| Michelle J Perry | Physical Therapy | Boston Sports Medicine Inc | 503 Humphrey St, Swampscott, MA 01907-2618 |
| Street Address |
1 BRAINTREE ST ST |
| City | ALLSTON |
| State | MA |
| Zip | 02134-1956 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin K Smith | Physical Therapy | Boston Sports Medicine Inc | 1 Braintree St St, Allston, MA 02134-1956 |
| Daniel Purcell | Physical Therapy | Boston Sports Medicine Inc | 1 Braintree St St, Allston, MA 02134-1956 |
| Elyse A Harrop | Physical Therapy | Boston Sports Medicine Inc | 1 Braintree St St, Allston, MA 02134-1956 |
| Meaghan Mulqueen Harwood | Physical Therapy | Boston Sports Medicine Inc | 1 Braintree St St, Allston, MA 02134-1956 |
| Emily M Bojorquez | Physical Therapy | Boston Sports Medicine Inc | 1 Braintree St St, Allston, MA 02134-1956 |
| Aisling Osullivan Roche | Physical Therapy | Boston Sports Medicine Inc | 1 Braintree St St, Allston, MA 02134-1956 |
| Michael Bachner | Physical Therapy | Boston Sports Medicine Inc | 1 Braintree St St, Allston, MA 02134-1956 |
| Michael C Geiger | Physical Therapy | Boston Sports Medicine Inc | 1 Braintree St St, Allston, MA 02134-1956 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Greeshma Naini | Family Medicine | Charles River Community Health, Inc | 30 Athol St, Allston, MA 02134-1124 |
| Olga Kaltsou | Physical Therapy | 20 Linden St, Suite 232, Allston, MA 02134-1711 | |
| Tamara Kuleshov | Physical Therapy | A-z Physical Therapy Corporation | 20 Linden St, Suite 232, Allston, MA 02134-1711 |
| Michael P Mcguinness | Physical Therapy | A-z Physical Therapy Corporation | 20 Linden St, Allston, MA 02134-1711 |
| Ruben Oganesov | Physical Medicine and Rehabilitation | Allston Physical Medicine Center | 39 Brighton Ave, Allston, MA 02134-2301 |
| Elvira Karakozova | Physical Therapy | 556 Cambridge St, Suite 1, Allston, MA 02134-2496 | |
| Mara Goldberg | Clinical Social Worker | Hri Clinics, Inc. | 14 Fordham Rd, Allston, MA 02134-3006 |
| Luz S Loaiza | Clinical Social Worker | Hri Clinics, Inc. | 14 Fordham Rd, Allston, MA 02134-3006 |
| Elizabeth B Tyson | Clinical Social Worker | Hri Clinics, Inc. | 14 Fordham Rd, Allston, MA 02134-3006 |
| Nagaraj Uddhandi | Psychiatry | Hri Clinics, Inc. | 14 Fordham Rd, Allston, MA 02134-3006 |
| Find all physicians in zip 02134 | |||
| City | ALLSTON |
| Zip Code | 02134 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | ALLSTON + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.