MGH REVERE HEALTHCARE CENTRE
NPI 1528298296
Clinic/Center - Physical Therapy in Revere, MA

Active since July 16, 2009CLIA Certified · 2 labs
300 OCEAN AVE, REVERE, MA 02151(781) 485-6222(781) 485-6232 Get Directions Write a Review

NPPES record last updated: July 16, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mgh Revere Healthcare Centre NPPES

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

MGH REVERE HEALTHCARE CENTRE (NPI 1528298296) is a healthcare organization registered as a physical therapy in Revere, Massachusetts and active in the NPI registry since July 2009. The organization holds 2 active CLIA laboratory certificates and lists Ruchita Vora, Staff Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1528298296
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameMGH REVERE HEALTHCARE CENTRE
Location Address300 OCEAN AVERevere, MA 02151-3675
Mailing Address190 Mountain Ave, Apt # 404Malden, MA 02148-2762 · (508) 615-9191
Fax(781) 485-6232
Organization SubpartYesParent: Massachusetts General Hospital
Authorized OfficialRuchita VoraStaff Physical Therapist · 17814856222
Enumeration DateJuly 16, 2009
NPI 1528298296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License Licensed in MA · 18434
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.
300 OCEAN AVE, Revere, MA 02151

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 22D0884279

Mgh Revere Healthcare Center Laboratory · Revere, MA
Active · expires Nov 30, 2027
CLIA Number22D0884279
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorLi Liu
Laboratory Phone(781) 485-6350
Laboratory LocationMgh Revere Healthcare Center Laboratory300 Ocean Avenue, Revere, MA 02151
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 22D0918761

Mgh Revere Healthcare Center · Revere, MA
Active · expires Sep 1, 2027
CLIA Number22D0918761
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 2, 2025
Certificate Expiration DateSeptember 1, 2027
Laboratory DirectorMilton R. Gholston
Laboratory Phone(781) 520-6456
Laboratory LocationMgh Revere Healthcare Center300 Ocean Avenue 1st Floor, Revere, MA 02151
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

Speech-Language Pathologist
300 OCEAN AVE, SPEECH AND LANGUAGE
REVERE, MA 02151
Student in an Organized Health Care Education/Training Program
300 OCEAN AVE
REVERE, MA 02151
Nurse Practitioner (Pediatrics)
300 OCEAN AVE
REVERE, MA 02151
Physical Therapist
300 OCEAN AVE
REVERE, MA 02151
Specialist
300 OCEAN AVE
REVERE, MA 02151
Nurse Practitioner (Pediatrics)
300 OCEAN AVE
REVERE, MA 02151
Physical Therapist
300 OCEAN AVE
REVERE, MA 02151
Student in an Organized Health Care Education/Training Program
300 OCEAN AVE
REVERE, MA 02151

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 Mgh Revere Healthcare Centre's NPI number?

The NPI number for Mgh Revere Healthcare Centre is 1528298296. It was assigned to this organization in the NPPES registry on July 16, 2009.

Where is Mgh Revere Healthcare Centre located?

Mgh Revere Healthcare Centre is located at 300 Ocean Ave, Revere, MA 02151. The listed phone number is (781) 485-6222.

What is Mgh Revere Healthcare Centre's specialty?

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

Does Mgh Revere Healthcare Centre hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Mgh Revere Healthcare Centre was last updated on July 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.