| Boston Sports Medicine Inc | |
|
1 Braintree St St, Allston, MA 02134-1956 | |
| (617) 787-8700 | |
| (617) 787-8106 |
| Full Name | Boston Sports Medicine Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1 Braintree St St, Allston, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245217546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Kathleen C Butt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891768297 PECOS PAC ID: 2961443742 Enrollment ID: I20050523000214 |
| Provider Name | Michael J Velsmid |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679554711 PECOS PAC ID: 8921052879 Enrollment ID: I20060418000297 |
| Provider Name | Andrew J Provost |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962795583 PECOS PAC ID: 3375720709 Enrollment ID: I20121207000065 |
| Provider Name | Meaghan Mulqueen Harwood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245510650 PECOS PAC ID: 6901078237 Enrollment ID: I20130322000046 |
| Provider Name | Michelle J Perry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457793606 PECOS PAC ID: 7618102096 Enrollment ID: I20131022000088 |
| Provider Name | Aisling Paula |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730580812 PECOS PAC ID: 8426371360 Enrollment ID: I20141229000251 |
| Provider Name | Erin K Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093190555 PECOS PAC ID: 7618287921 Enrollment ID: I20151116002244 |
| Provider Name | Samantha R Verost |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326403999 PECOS PAC ID: 6204132137 Enrollment ID: I20160302002163 |
| Provider Name | Jessica Carey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932610573 PECOS PAC ID: 6002182409 Enrollment ID: I20171031001514 |
| Provider Name | Marcelo Knapik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497221295 PECOS PAC ID: 1254675911 Enrollment ID: I20181206001260 |
| Provider Name | Michael C Geiger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982163614 PECOS PAC ID: 6901139260 Enrollment ID: I20190531002089 |
| Provider Name | Joseph A Merullo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851851505 PECOS PAC ID: 9537492731 Enrollment ID: I20190603001471 |
| Provider Name | Justin Degenhardt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376192039 PECOS PAC ID: 7416286844 Enrollment ID: I20190911000628 |
| Provider Name | Lindsey Nicole Wilcox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902311616 PECOS PAC ID: 2163752536 Enrollment ID: I20190927000314 |
| Provider Name | Emily E. Everton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679123731 PECOS PAC ID: 6103158811 Enrollment ID: I20191030001562 |
| Provider Name | Amelia M Santiago |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962026344 PECOS PAC ID: 5991128589 Enrollment ID: I20200715001804 |
| Provider Name | Lee Haggerty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083239446 PECOS PAC ID: 2860816071 Enrollment ID: I20200721003071 |
| Provider Name | Margo Bossom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255939195 PECOS PAC ID: 6608286224 Enrollment ID: I20201110000109 |
| Provider Name | Kelly Corrado |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770185241 PECOS PAC ID: 1557772852 Enrollment ID: I20201117001967 |
| Provider Name | Jason Robert Schoenfelder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932608692 PECOS PAC ID: 8123389863 Enrollment ID: I20210806001681 |
| Provider Name | Rachel Anne Diffendal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730855941 PECOS PAC ID: 3072918390 Enrollment ID: I20210825002087 |
| Provider Name | Caroline L Stone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548938905 PECOS PAC ID: 7315343753 Enrollment ID: I20210909002064 |
| Provider Name | Emily V Faria |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720726490 PECOS PAC ID: 8527446426 Enrollment ID: I20220606001648 |
| Provider Name | Hannah Deveny Rizo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861049181 PECOS PAC ID: 2062741234 Enrollment ID: I20220824003125 |
| Provider Name | Tyler Greffrath |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649986266 PECOS PAC ID: 4688046014 Enrollment ID: I20230214000560 |
| Provider Name | Nicole Ann Mccardle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982470035 PECOS PAC ID: 4183073703 Enrollment ID: I20231207003827 |
| Provider Name | Kristen Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912772815 PECOS PAC ID: 6002265030 Enrollment ID: I20231215000294 |
| Provider Name | Kathryn Selig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316668221 PECOS PAC ID: 3476904798 Enrollment ID: I20240110003978 |
| Provider Name | Logan Chaet |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235994807 PECOS PAC ID: 6103261458 Enrollment ID: I20240227002101 |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Sports Medicine Inc Po Box 322, Allston, MA 02134-0003 Ph: (617) 623-6303 | Boston Sports Medicine Inc 1 Braintree St St, Allston, MA 02134-1956 Ph: (617) 787-8700 |
Abigail E Jamula, P.T., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Braintree St St, Allston, MA 02134 Phone: 617-787-8700 Fax: 617-787-8106 | |
Performance And Recovery Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Western Ave Ste 4, Allston, MA 02134 Phone: 612-599-6153 | |
Meaghan M Harwood, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Braintree Street, 1st Floor, Allston, MA 02134 Phone: 617-787-8700 Fax: 617-787-8106 | |
David Nicholas Hynes, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39 Brighton Ave, Allston, MA 02134 Phone: 617-783-5783 | |
Yu-ting Tseng, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39 Brighton Ave, Allston, MA 02134 Phone: 617-783-5783 | |
David Merson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 Braintree St, Allston, MA 02134 Phone: 617-787-8700 Fax: 617-787-8106 |