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1255473153 NPI number — ATLANTIS PHYSICAL THERAPY GROUP,INC,

NPI Number: 1255473153
Health Care Provider/Practitioner: ATLANTIS PHYSICAL THERAPY GROUP,INC,

Information about “1255473153” NPI (ATLANTIS PHYSICAL THERAPY GROUP,INC,) exists in 1255473153 in HTML format HTML  |  1255473153 in plain Text format TXT  |  1255473153 in PDF (Portable Document Format) PDF  |  1255473153 in an XML format XML  formats.

NPI Number : 1255473153 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255473153",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ATLANTIS PHYSICAL THERAPY GROUP,INC,",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "599 WASHINGTON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DORCHESTER CENTER",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02124-2033",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "617-288-6005",
    "MailingAddressFaxNumber": "617-288-6227",
    "FirstLinePracticeLocationAddress": "62 WARREN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROXBURY",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02119-3253",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "617-442-0111",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/14/2007",
    "LastUpdateDate": "10/28/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KAUSHIK",
    "AuthorizedOfficialFirstName": "MOHIT",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DPT",
    "AuthorizedOfficialTelephoneNumber": "617-442-0111",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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