Physical Therapy Center, Inc
Organization Active NPI Clinic/Center · Osterville, MA
NPI 1194723478 · NPPES record last updated Nov 24, 2010
Key facts
- NPI
- 1194723478
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- PHYSICAL THERAPY CENTER, INC
- Practice address
- 719 Main St
Osterville, MA 02655-1903 - Phone
- (508) 428-0300
- NPI assigned
- Jul 12, 2005
- Organization subpart
- No
Authorized official
- Name
- Richard Egan, BS,MBA
- Title
- Manager
- Phone
- (508) 428-0300
Practitioners 9
-
Jennifer Ann Andrews, MSPT
-
Jennifer Desormeau Chase, PT,MSPT
-
Amy B Davis, DPT
-
Jennifer A Dion, PT, DPT
-
Christopher David Gellert, PT, MMUSCSPORTS CSCS
-
Kimberly Norwood, PT
-
Paula Jeanne Vintro, PTA
-
Anne Marie Nowak, PT
National Provider Directory
Locations
719 Main St
Osterville, MA 02655
Phone (508) 428-0300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
719 Main St
Osterville, MA 02655-1903
Mailing address
PO Box 604
Osterville, MA 02655-0604
Phone (508) 428-0300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y61076 | Other | MA | BCBS |
| 9799931 | Medicaid | MA |
Other providers in Osterville, MA
- Osterville Family Dental
- Osterville Health Care PC
- Paxthera, LLC
- Diane L Pemberton
- Deborah Marie Perry
- Robert a. Faiella, DMD, MMSC, PC
- Pamela Ruth Rodgers
- Margaret Sabens
- Nancy Smith
- Stephanie Marie Soares
All providers in Osterville, MA · Clinic/Center in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.