Olympic Physical Medicine
Olympic Physical Medicine is a healthcare organization registered as Sports Physical Therapist in Stoneham, MA, holding Type 2 (organization) NPI 1255369963 since 2006. The authorized official on file is Douglas White, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1255369963 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Olympic Physical Medicine |
| Practice address | 200 MAIN STREET, 111, Stoneham, MA, 02180 |
| Phone | 6176668800 |
| Fax | 6176664488 |
| Enumeration date | 2006-06-29 |
| Last updated in NPPES | 2008-04-20 |
Authorized official
| Name | Douglas White |
|---|---|
| Title | President |
| Phone | 6176668800 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Secondary | — | — |
| 2251X0800X | Orthopedic Physical Therapist | Secondary | — | — |
| 2255A2300X | Athletic Trainer | Secondary | — | — |
| 2251S0007X | Sports Physical Therapist | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y61424 | Other | MA | BC/BS |
| 0035582 | Other | MA | NEIGHBORHOOD HEALTH |
| AA36064 | Other | MA | HARVARD PILGRIM |
| 2752329 | Other | MA | AETNA |
Copy-ready billing details
Provider: Olympic Physical Medicine NPI: 1255369963 Taxonomy: 2251S0007X (Sports Physical Therapist) Address: 200 MAIN STREET, 111, Stoneham, MA, 02180
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1154410371 | Kenneth Johnson | Individual | Physical Therapy Assistant | Stoneham, MA |
Verify this record
Cross-check NPI 1255369963 against the authoritative CMS record: view Olympic Physical Medicine 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
Who is the authorized official for Olympic Physical Medicine?
What is the NPI number for Olympic Physical Medicine?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-04-20.