NPIMap

Organization Active NPI

Middlesex Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Lowell, MA
National Provider Identifier
1215320668
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MIDDLESEX PHYSICAL THERAPY LLC
Practice address
716 Middlesex St
Unit 6
Lowell, MA 01851-1400
Phone
(978) 452-6795
Fax
(978) 452-6302
NPI assigned
Mar 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Sophea UmNPI 1780077180
Title
Member/Manager
Phone
(978) 452-6795

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

716 Middlesex St
Unit 6
Lowell, MA 01851-1400

Mailing address

716 Middlesex St
Unit 6
Lowell, MA 01851-1400
Phone (978) 452-6795

National Provider Directory

National Provider Directory

Locations

716 Middlesex St
Ste 6
Lowell, MA 01851
Phone (978) 452-6795

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1215320668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 MIDDLESEX ST",
            "address_2": "UNIT 6",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018511400",
            "telephone_number": "978-452-6795",
            "fax_number": "978-452-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 MIDDLESEX ST",
            "address_2": "UNIT 6",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018511400",
            "telephone_number": "978-452-6795",
            "fax_number": "978-452-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "UM",
        "authorized_official_first_name": "SOPHEA",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "978-452-6795"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.