Boston Sports & Spine LLC
NPI 1407618648 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Wellesley, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Boston Sports & Spine LLC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician organization in Wellesley, MA (NPI 1407618648).
Provider details
- NPI number
- 1407618648
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Walter Sussman, Owner(781) 591-7855
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-01-24
- Last updated
- 2024-01-24
- Certified
- 2024-01-24
Frequently asked questions
- What is Boston Sports & Spine LLC's NPI number?
- Boston Sports & Spine LLC's National Provider Identifier (NPI) is 1407618648, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boston Sports & Spine LLC?
- Boston Sports & Spine LLC is classified in the NPPES registry as Sports Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Boston Sports & Spine LLC located?
- Boston Sports & Spine LLC's practice location on file with NPPES is 20 Walnut St Ste 14, Wellesley, MA 02481-2104.
- What is Boston Sports & Spine LLC's phone number?
- The practice phone number listed in the NPPES registry for Boston Sports & Spine LLC is (781) 591-7855.
- Does Boston Sports & Spine LLC accept Medicare?
- Boston Sports & Spine LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Boston Sports & Spine LLC?
- The authorized official listed on Boston Sports & Spine LLC's NPPES record is Walter Sussman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boston Sports & Spine LLC's NPI active?
- Yes — Boston Sports & Spine LLC's NPI (1407618648) is active in the NPPES registry as of the last update on 2024-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.