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ADVANCE PHYSICAL THERAPY & SPORT REHAB NPI 1417163817


NPI Information

NPI: 1417163817
Provider Name: ADVANCE PHYSICAL THERAPY & SPORT REHAB

Other Name: PHYSICAL THERAPY

Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
1 MARKET ST STE 3
39 CROSS STREET SUITE#205,PEABODY,MA 01960
LYNN, MA
ZIP 01901
Phone: (781) 592-0540
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ADVANCE PHYSICAL THERAPY & SPORT REHAB is a point of service in Lynn, MA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. ADVANCE PHYSICAL THERAPY & SPORT REHAB NPI is 1417163817. The provider is registered as an organization entity type.
The provider Other Name Is Physical Therapy.

The provider's business location address is:

1 MARKET ST STE 3
39 CROSS STREET SUITE#205,PEABODY,MA 01960
LYNN, MA
ZIP 01901-044
Phone: (781) 592-0540

The provider's authorized official is Joseph S O'connor .
The authorized official title is Owner and has the following contact phone number (781) 592-0540.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 6/16/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of Service6761MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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