Shalom Physical Therapy, LLC
Clinic/Center (Physical Therapy)

Address: 78 Bennington St, Boston, MA 02128-1704
Phone: 8572226510

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).

Provider Overview

Nation Provider Identifier (NPI) 1871149583
Entity Type Organization
Organization Name SHALOM PHYSICAL THERAPY, LLC
Practice Address 78 Bennington St
Boston
MA 02128-1704
Practice Telephone 8572226510
Mailing Address 78 Bennington St
Boston
MA 02128-1704
Mailing Telephone 8572226510
Authorized Official Name Mirza Lopez (MEMBER/MANAGER)
Authorized Official Telephone 8572226510
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-08-18
Last Update Date 2019-08-18

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QP2000X Clinic/Center · Physical Therapy Ambulatory Health Care Facilities

Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

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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
1962986166 Flourish Physical Therapy, LLC Clinic/Center 575 Boylston St Fl 4, Boston, MA 02116-3607 2018-09-24
1053823948 Refresh Physical Therapy LLC Clinic/Center 45 School St, Boston, MA 02108-3206 2017-10-31
1881041135 Barkwell Physical Therapy, LLC Clinic/Center 12 Clarendon St, Boston, MA 02116-6117 2016-05-17
1235520453 Healthy Soles Clinic/Center 581 Boylston St, Suite 504a, Boston, MA 02116-3608 2015-02-10
1588075527 New Dimensions In Health, Inc. Clinic/Center 1 Seaport Ln, Boston, MA 02210-2013 2014-05-13
1982966032 Backstage Pt LLC Clinic/Center 300 Western Ave, Boston, MA 02134-1030 2012-06-14
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Office Location

Street Address 78 BENNINGTON ST
City BOSTON
State MA
Zip Code 02128-1704

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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
1598048522 Rebecca Taylor Social Worker 120 Condor St, East Boston, MA 02128 2011-09-26
1811209752 Raluca Codruta Honciuc Counselor 530 Border Sreet, East Boston, MA 02128 2010-07-08
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Competitor

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City BOSTON
Zip Code 02128

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Dataset Information

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.

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