LIBERTY MUTUAL PHYSICAL THERAPY
NPI 1316585482
Clinic/Center - Physical Therapy in Boston, MA

Active since December 19, 2019CLIA 22D2061989 · Waiver
157 BERKELEY ST, BOSTON, MA 02116(857) 224-9355(857) 224-8373 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2022, Jul 13, 2022, Feb 12, 2020 and 1 more (4 updates tracked since 2019).

About Liberty Mutual Physical Therapy NPPES

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

LIBERTY MUTUAL PHYSICAL THERAPY (NPI 1316585482) is a healthcare organization registered as a physical therapy in Boston, Massachusetts and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through July 8, 2027 and lists Jonathan Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1316585482
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NamePREMISE HEALTH OF MASSACHUSETTS, MEDICAL PC
Location Address157 BERKELEY STBoston, MA 02116-5108
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Fax(857) 224-8373
Organization SubpartNo
Authorized OfficialJonathan LeizmanPresident · (216) 479-9063
Enumeration DateDecember 19, 2019
Last NPPES UpdateAugust 15, 20224 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
NPI 1316585482 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.
157 BERKELEY ST, Boston, MA 02116

Other Names 1

Doing Business AsLiberty Mutual Physical Therapy

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2061989

Premise Health Of Massachusetts Medical PC · Boston, MA
Active · expires Jul 8, 2027
CLIA Number22D2061989
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2025
Certificate Expiration DateJuly 8, 2027
Laboratory DirectorLucy Radovinsky
Laboratory Phone(857) 224-9355
Laboratory LocationPremise Health Of Massachusetts Medical PC175 Berkeley Street, Boston, MA 02116
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Premise Health Of Massachusetts, Medical PC's NPI number?

The NPI number for Premise Health Of Massachusetts, Medical PC is 1316585482. It was assigned to this organization in the NPPES registry on December 19, 2019. The provider is doing business as Liberty Mutual Physical Therapy.

Where is Premise Health Of Massachusetts, Medical PC located?

Premise Health Of Massachusetts, Medical PC is located at 157 Berkeley St, Boston, MA 02116. The listed phone number is (857) 224-9355.

What is Premise Health Of Massachusetts, Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Does Premise Health Of Massachusetts, Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2061989) is associated with this NPI, valid through July 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premise Health Of Massachusetts, Medical PC was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.