SPORT DEVELOPMENT SERVICES INC.
NPI 1548920473
Physical Therapist - Sports in Boston, MA

Active since December 20, 2021
19 BOYDEN ST, BOSTON, MA 02124(781) 244-0894 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sport Development Services Inc. NPPES

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

SPORT DEVELOPMENT SERVICES INC. (NPI 1548920473) is a healthcare organization registered as a sports in Boston, Massachusetts and active in the NPI registry since December 2021. The organization lists Floyd Ashton Williams-agnew, Executive Director/founder/mentor, as its authorized official.

NPPES Registry Identity

NPI1548920473
Entity TypeOrganization
Primary Taxonomy2251S0007X
Legal Business NameSPORT DEVELOPMENT SERVICES INC.
Location Address19 BOYDEN STBoston, MA 02124-3212
Mailing Address19 Boyden StBoston, MA 02124-3212 · (781) 244-0894
Organization SubpartNo
Authorized OfficialFloyd Ashton Williams-agnewExecutive Director/founder/mentor · (781) 244-0894
Enumeration DateDecember 20, 2021
NPPES CertifiedOctober 8, 2021
NPI 1548920473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
19 BOYDEN ST, Boston, MA 02124

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

Other Providers at the Same Location NPPES 5

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

Health and Wellness Coach
19 BOYDEN ST
BOSTON, MA 02124
Social Worker (Clinical)
19 BOYDEN ST
BOSTON, MA 02124
Health and Wellness Coach
19 BOYDEN ST
BOSTON, MA 02124
Clinic/Center (Mental Health (Including Community Mental Health Center))
19 BOYDEN ST
DORCHESTER CENTER, MA 02124
Health Educator
19 BOYDEN ST
BOSTON, MA 02124

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 Sport Development Services Inc.'s NPI number?

The NPI number for Sport Development Services Inc. is 1548920473. It was assigned to this organization in the NPPES registry on December 20, 2021.

Where is Sport Development Services Inc. located?

Sport Development Services Inc. is located at 19 Boyden St, Boston, MA 02124. The listed phone number is (781) 244-0894.

What is Sport Development Services Inc.'s specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Sport Development Services Inc. was last updated on December 20, 2021. 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.