Centre Street Rehabiilitation, INC.
Clinic/Center, Rehabilitation in Jamaica Plain, MA. Organization (NPI-2).
NPI number1760601983
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1760601983
- Entity type
- Organization (NPI-2)
- Legal business name
- Centre Street Rehabiilitation, INC.
- Organization subpart
- No
- Enumeration date
- Apr 25, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | 187 | MA | Yes |
Practice location
488 Centre StJamaica Plain, MA 02130-2057
Phone 617-522-8500
Mailing address
488 Centre StJamaica Plain, MA 02130-2057
Phone 617-522-8500
Authorized official
Lydia Shver
Secretary And Treasurer
6175228500
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