PTC Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

15260 Issued in MA

Legal business name

PTC PHYSICAL THERAPY LLC

Practice address

734 Newport Ave
Suite 2
Attleboro, MA 02703-5935

Phone

(508) 399-1782

Fax

(888) 802-0652

NPI assigned

Aug 15, 2011

Organization subpart

No

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

Authorized official

Name

David Paul Dansereau, MSPT

Title

Owner/Manager

Phone

(508) 399-1782

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1194004630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7242",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028640894",
            "telephone_number": "508-399-1782",
            "fax_number": "888-802-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 NEWPORT AVE",
            "address_2": "SUITE 2",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027035935",
            "telephone_number": "508-399-1782",
            "fax_number": "888-802-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PTC PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "DANSEREAU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "508-399-1782",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "15260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Attleboro, MA
• Providers in Attleboro, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.