OrganizationActive
Sport Development Services Inc.
NPI 1548920473 · Sports Physical Therapist · Boston, MA
Provider details
- NPI number
- 1548920473
- Entity type
- Organization
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Floyd Williams-Agnew, Executive Director/Founder/Mentor(781) 244-0894
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
19 Boyden St
Boston, MA 02124-3212
Phone: (781) 244-0894
Street-level locationGet directions
Mailing address
19 Boyden St
Boston, MA 02124-3212
Registry dates
- Enumerated
- 2021-12-20
- Last updated
- 2021-12-20
- Certified
- 2021-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.