OrganizationActive
Backstage PT LLC
NPI 1982966032 · Physical Therapy Clinic/Center · Boston, MA
Provider details
- NPI number
- 1982966032
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Peter Breen, Managing Member(617) 254-1656
- License
- 15855 (MA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
300 Western Ave
Boston, MA 02134-1030
Phone: (617) 254-1656
Street-level locationGet directions
Mailing address
300 Western Ave
Boston, MA 02134-1030
Registry dates
- Enumerated
- 2012-06-14
- Last updated
- 2012-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.