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

Boston Sports & Spine LLC

Organization Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1407618648

Boston Sports & Spine LLC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Wellesley, Massachusetts. Registered with an NPI since 2024.

In the registry since
2024
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

20 Walnut St Ste 14
Wellesley, MA 02481-2104
Phone: (781) 591-7855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X

Record details

NPI number1407618648
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Walter Sussman — Owner · (781) 591-7855
NPI enumeratedJanuary 24, 2024
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024
Mailing address35 United Dr Ste 102, West Bridgewater, MA 02379-1056

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