Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boston Sports & Shoulder Center, LLC

Organization Orthopaedic Surgery Physician · NPI 1972996098

Boston Sports & Shoulder Center, LLC is an Orthopaedic Surgery Physician in Boston, Massachusetts. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

125 Parker Hill Ave
Boston, MA 02120-2847
Phone: (617) 264-1100
Fax: (617) 264-1101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1972996098
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Shaker — Executive Director · (781) 890-2133
Other names Boston Sports & Shoulder Center
NPI enumeratedMarch 13, 2015
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024
Mailing address840 Winter St, Attn: Boston Sports & Shoulder Center, Waltham, MA 02451-1433

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