SEAPORT SPINE PLLC
NPI 1255962379
Chiropractor in Boston, MA
About Seaport Spine Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEAPORT SPINE PLLC (NPI 1255962379), doing business as Seaport Spine & Sport, is a healthcare organization registered as a chiropractor in Boston, Massachusetts and active in the NPI registry since January 2020. The organization lists Ryan Hollien, Owner/chiropractor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Seaport Spine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Seaport Spine PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Seaport Spine PLLC's NPI number?
The NPI number for Seaport Spine PLLC is 1255962379. It was assigned to this organization in the NPPES registry on January 28, 2020. The provider is doing business as Seaport Spine & Sport.
Where is Seaport Spine PLLC located?
Seaport Spine PLLC is located at 212 Northern Ave, Boston, MA 02210. The listed phone number is (617) 519-3607.
What is Seaport Spine PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Seaport Spine PLLC enrolled in Medicare?
Yes. Seaport Spine PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Seaport Spine PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Seaport Spine PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Seaport Spine PLLC was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Seaport Spine Pllc · NPI 1255962379
Chiropractor organization in Boston, Massachusetts. Organization record, active in the CMS NPPES registry since January 28, 2020.
## Identity
- **NPI:** 1255962379 (Entity type: Organization)
- **Enumerated:** January 28, 2020
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Also known as:** Seaport Spine & Sport (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Ryan Hollien, OWNER/CHIROPRACTOR
## Practice location
- **Address:** 212 NORTHERN AVE, Boston, MA 02210-2089
- **Phone:** (617) 519-3607
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 28, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1255962379) · Data from the CMS NPPES public registry.