South Shore Injury Treatment Center
NPI 1922478643ActiveOrganization· Physical Medicine & Rehabilitation· Quincy, MA
Physical Medicine & Rehabilitation in Quincy, Massachusetts, registered in NPPES in October 2015. The authorized official on file is Jay A. Provenzano, Treasurer.
Overview
| NPI | 1922478643 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 7, 2015 |
| Last updated in NPPES | Oct 7, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation Primary | 208100000X | 80064 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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