Active NPIOrganization

Sport Development Services INC.

Physical Therapist, Sports in Boston, Massachusetts

NPI Number1548920473
Practice location
19 Boyden St, Boston, MA 02124-3212
Fax
—
Last updated
December 20, 2021

Sport Development Services INC. is a healthcare organization based in Boston, MA. Sport Development Services INC. practices in Boston, MA. The NPI Number for Sport Development Services INC. is 1548920473. The current practice location address for Sport Development Services INC. is 19 Boyden St, Boston, MA 02124-3212 and can be reached out via phone at 781-244-0894.

Provider Profile Details

NPI Number
1548920473
Provider Name
Sport Development Services INC.
Provider Entity Type
Organization
Address
19 Boyden St, Boston, MA 02124-3212
Phone Number
781-244-0894
Primary Taxonomy
Physical Therapist, Sports · 2251S0007X
Organization Subpart
No
Authorized Official
Mr. Floyd Ashton Williams-Agnew · Executive Director/Founder/Mentor · 781-244-0894
Provider Enumeration Date
December 20, 2021
Last Update Date
December 20, 2021
Certification Date
October 8, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Boyden St
Boston, MA 02124-3212
City
Boston
Zip
02124-3212
Phone Number
781-244-0894
Boston, MA 02124Get directions →

Provider Business Mailing Address Details

Address
19 Boyden St
Boston, MA 02124-3212
City
Boston
State
MA
Zip
02124-3212
Phone Number
781-244-0894

License Information

Taxonomy
Physical Therapist, Sports · 2251S0007X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sport Development Services INC.?

The NPI number of Sport Development Services INC. is 1548920473. It was assigned on December 20, 2021 and is currently active in the NPPES registry.

What is the specialty of Sport Development Services INC.?

Sport Development Services INC. is registered under the primary taxonomy Physical Therapist, Sports (code 2251S0007X).

Where does Sport Development Services INC. practice?

The practice location is 19 Boyden St, Boston, MA 02124-3212. The office can be reached at 781-244-0894 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548920473 directly on the NPPES registry website.

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