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OLYMPIC PHYSICAL MEDICINE
NPI 1255369963
Physical Therapist - Sports in Stoneham, MA

Active since June 29, 2006
200 MAIN STREET, 111, STONEHAM, MA 02180(617) 666-8800(617) 666-4488 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Olympic Physical Medicine NPPES

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

OLYMPIC PHYSICAL MEDICINE (NPI 1255369963) is a healthcare organization registered as a sports in Stoneham, Massachusetts and active in the NPI registry since June 2006. The organization lists Douglas E White, President, as its authorized official.

NPPES Registry Identity

NPI1255369963
Entity TypeOrganization
Primary Taxonomy2251S0007X
Legal Business NameOLYMPIC PHYSICAL MEDICINE
Location Address200 MAIN STREET, 111Stoneham, MA 02180-1619
Mailing Address200 Main Street, 111Stoneham, MA 02180-1619 · (617) 666-8800 · Fax (617) 666-4488
Phone(617) 666-8800
Fax(617) 666-4488
Organization SubpartNo
Authorized OfficialDouglas E WhitePresident · (617) 666-8800
Enumeration DateJune 29, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1255369963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
200 MAIN STREET, Stoneham, MA 02180
Open in Google Maps ↗

Other Identifiers 5

Other2752329MA · Aetna
OtherAA36064MA · Harvard Pilgrim
Other0035582MA · Neighborhood Health
OtherY61424MA · Bc/bs
Medicare ID-Type UnspecifiedPT0294MA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KENNETH L JOHNSON PTA
Physical Therapy Assistant
200 MAIN STREET, SUITE 111
STONEHAM, MA 02180
Middlesex County (617) 666-8800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olympic Physical Medicine's NPI number?

The NPI number for Olympic Physical Medicine is 1255369963. It was assigned to this organization in the NPPES registry on June 29, 2006.

Where is Olympic Physical Medicine located?

Olympic Physical Medicine is located at 200 Main Street 111, Stoneham, MA 02180. The listed phone number is (617) 666-8800.

What is Olympic Physical Medicine's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Olympic Physical Medicine was last updated on April 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.