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BOSTON SPORTS & SPINE LLC
NPI 1407618648
Physical Medicine & Rehabilitation - Sports Medicine in Wellesley, MA

Active since January 24, 2024
20 WALNUT ST STE 14, WELLESLEY, MA 02481(781) 591-7855 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Boston Sports & Spine Llc NPPES

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

BOSTON SPORTS & SPINE LLC (NPI 1407618648) is a healthcare organization registered as a sports medicine in Wellesley, Massachusetts and active in the NPI registry since January 2024. The organization lists Walter Sussman, Owner, as its authorized official.

NPPES Registry Identity

NPI1407618648
Entity TypeOrganization
Primary Taxonomy2081S0010X
Legal Business NameBOSTON SPORTS & SPINE LLC
Location Address20 WALNUT ST STE 14Wellesley, MA 02481-2104
Mailing Address35 United Dr Ste 102West Bridgewater, MA 02379-1056
Phone(781) 591-7855
Organization SubpartNo
Authorized OfficialWalter SussmanOwner · (781) 591-7855
Enumeration DateJanuary 24, 2024
NPPES CertifiedJanuary 24, 2024
✔ NPI 1407618648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
20 WALNUT ST STE 14, Wellesley, MA 02481
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Boston Sports & Spine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Boston Sports & Spine LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Erek Latzka, MD, RMSK
Physical Medicine and Rehabilitation
NPI 1336587385
20 WALNUT ST STE 14
Wellesley, MA 02481
(781) 591-7855
✔ PECOSSame address
Walter Sussman, D.O.
Physical Medicine and Rehabilitation
NPI 1538457684
20 WALNUT ST STE 14
Wellesley, MA 02481
(781) 591-7855
✔ PECOSSame address
Nicholas Tsitsilianos, MD
Physical Medicine and Rehabilitation
NPI 1386200780
123 SUMMER ST
Worcester, MA 01608
(508) 363-5000
✔ PECOS✔ Accepts Medicare28 mi

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 Boston Sports & Spine LLC's NPI number?

The NPI number for Boston Sports & Spine LLC is 1407618648. It was assigned to this organization in the NPPES registry on January 24, 2024.

Where is Boston Sports & Spine LLC located?

Boston Sports & Spine LLC is located at 20 Walnut St Ste 14, Wellesley, MA 02481. The listed phone number is (781) 591-7855.

What is Boston Sports & Spine LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Boston Sports & Spine LLC enrolled in Medicare?

Yes. Boston Sports & Spine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boston Sports & Spine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Medicine and Rehabilitation, reassign their Medicare billing to Boston Sports & Spine LLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Boston Sports & Spine LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Boston Sports & Spine LLC 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 Boston Sports & Spine LLC was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.