SEAPORT SPINE PLLC
NPI 1255962379
Chiropractor in Boston, MA

Active since January 28, 2020
212 NORTHERN AVE, BOSTON, MA 02210(617) 519-3607 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1255962379
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSEAPORT SPINE PLLC
Location Address212 NORTHERN AVEBoston, MA 02210-2089
Mailing Address11 Bunton StMilton, MA 02186-5704 · (617) 519-3607
Organization SubpartNo
Authorized OfficialRyan HollienOwner/chiropractor · (617) 519-3607
Enumeration DateJanuary 28, 2020
NPI 1255962379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
212 NORTHERN AVE, Boston, MA 02210

Other Names 1

Doing Business AsSeaport Spine & Sport

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Chiropractor
212 NORTHERN AVE
BOSTON, MA 02210

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.

What insurance does Seaport Spine PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Seaport Spine PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.