Healthcare Provider Details

I. General information

NPI: 1972587947
Provider Name (Legal Business Name): NON-SURGICAL ORTHOPEDIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140GOULD ST 1ST FLOOR
NEEDHAM MA
02494-2307
US

IV. Provider business mailing address

140 GOULD ST 1ST FLOOR
NEEDHAM MA
02494-2307
US

V. Phone/Fax

Practice location:
  • Phone: 781-453-1266
  • Fax: 781-453-1267
Mailing address:
  • Phone: 781-453-1266
  • Fax: 781-453-1267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number78630
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number78630
License Number StateMA

VIII. Authorized Official

Name: DR. JOSEPH ZOLOT
Title or Position: DOCTOR
Credential: MD
Phone: 781-453-1266