Beantown Physio, Inc
NPI 1477547529ActiveOrganization· Physical Therapist· Brookline, MA
Physical Therapist in Brookline, Massachusetts, registered in NPPES in September 2005. The authorized official on file is Paul M. Ghostlaw, PT, President/ Physical Therpist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1477547529 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 6, 2005 |
| Last updated in NPPES | Oct 18, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 16266 | MA |
| Physical Therapist | 225100000X | 8336 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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