Organization Active NPI

One80 Physical Therapy, LLC.

  • Physical Therapy Clinic/Center
  • Wilmington, MA
National Provider Identifier
1114016847
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
12144 Issued in MA
Legal business name
ONE80 PHYSICAL THERAPY, LLC.
Practice address
226 Andover St
Wilmington, MA 01887-1022
Phone
(978) 658-1999
Fax
(978) 658-9994
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. William Dooley, PT
Title
Director of Physical Therapy
Phone
(978) 658-1999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 12144 MA Primary

Addresses

Primary practice location

226 Andover St
Wilmington, MA 01887-1022

Mailing address

226 Andover St
Wilmington, MA 01887-1022
Phone (978) 658-1999

National Provider Directory

National Provider Directory

Locations

226 Andover St
Wilmington, MA 01887
Phone (978) 658-1999

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114016847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 ANDOVER ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018871022",
            "telephone_number": "978-658-1999",
            "fax_number": "978-658-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 ANDOVER ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018871022",
            "telephone_number": "978-658-1999",
            "fax_number": "978-658-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE80 PHYSICAL THERAPY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOOLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "978-658-1999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "12144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.