NPI 1104639731
Clinic/Center - Physical Therapy in Waltham, MA

Active since January 28, 2025
40 CRESCENT ST STE 104, WALTHAM, MA 02453(781) 916-8825(781) 701-3570 Get Directions Write a Review

NPPES record last updated: February 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NPPES Registry Identity

NPI1104639731
Entity TypeOrganization
Primary Taxonomy261QP2000X
Location Address40 CRESCENT ST STE 104Waltham, MA 02453-4313
Mailing Address40 Crescent St Ste 104Waltham, MA 02453-4313 · (781) 916-8825 · Fax (781) 701-3570
Fax(781) 701-3570
Organization SubpartNo
Authorized OfficialYolanda Enid RodriguezPresident · (781) 916-8825
Enumeration DateJanuary 28, 2025
Last NPPES UpdateFebruary 9, 2025
NPPES CertifiedFebruary 9, 2025
NPI 1104639731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
40 CRESCENT ST STE 104, Waltham, MA 02453