Npi 1104639731

Npi 1104639731 is a healthcare organization registered as Physical Therapy Clinic/Center in Waltham, MA, holding Type 2 (organization) NPI 1104639731 since 2025. The authorized official on file is Yolanda Rodriguez, President.

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NPI	1104639731
Entity type	Organization (Type 2)
Legal business name	Npi 1104639731
Practice address	40 CRESCENT ST STE 104, Waltham, MA, 02453
Phone	7819168825
Fax	7817013570
Enumeration date	2025-01-28
Last updated in NPPES	2025-02-09

Authorized official

Name	Yolanda Rodriguez
Title	President
Phone	7819168825

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QP2000X	Physical Therapy Clinic/Center	Primary	—	—

Copy-ready billing details

Provider: 
NPI: 1104639731
Taxonomy: 261QP2000X (Physical Therapy Clinic/Center)
Address: 40 CRESCENT ST STE 104, Waltham, MA, 02453

Verify this record

Cross-check NPI 1104639731 against the authoritative CMS record: view Npi 1104639731 on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-02-09. Verify at npiregistry.cms.hhs.gov.

Where is Npi 1104639731 located?

The practice location on file with NPPES is in Waltham, MA.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2025-02-09.