# NORTH SHORE REHABILITATION ASSOCIATES INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407079759
- **Authorized official:** MR. ALEX PYATIGORSKIY (PRESIDENT)
- **Authorized official phone:** (781) 593-9093

## Contact information

- **Practice address:** 121 BROAD STREET, LYNN, MA 01901-1629
- **Practice address phone:** (781) 593-9090
- **Practice address fax:** (780) 593-9093
- **Mailing address:** 121 BROAD STREET, LYNN, MA 01901-1629
- **Mailing address phone:** (781) 593-9090
- **Mailing address fax:** (780) 593-9093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 05/31/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9751441 | — | MA |