Organization Active NPI

Louis B. Coiro, Inc.

Doing business as Tewksbury Physical Therapy

  • Physical Therapist
  • Tewksbury, MA
National Provider Identifier
1407833718
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LOUIS B. COIRO, INC.
Doing business as
Tewksbury Physical Therapy
Practice address
885 Main St
Unit 4
Tewksbury, MA 01876-1800
Phone
(978) 851-8768
Fax
(978) 851-8606
NPI assigned
Dec 28, 2005
Last updated
Jul 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Authorized official

Name
Mrs. Amanda Blute
Title
Administrative Director
Phone
(978) 851-8768

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

885 Main St
Unit 4
Tewksbury, MA 01876-1800

Mailing address

885 Main St
Unit #4
Tewksbury, MA 01876-1800
Phone (978) 851-8768

Other identifiers 5

IdentifierTypeStateIssuer
87726OtherMAUNITED HEALTH CARE
709987OtherMATUFT HEALTH PLAN
Y65627OtherMABCBS
40400OtherMAFALLON
605420OtherMAHARVARD PILGRIM

Other names 1

  • Tewksbury Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

885 Main St
Tewksbury, MA 01876

885 Main St
Ste 4
Tewksbury, MA 01876
Phone (978) 851-8766

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1407833718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 MAIN ST",
            "address_2": "UNIT #4",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761800",
            "telephone_number": "978-851-8768",
            "fax_number": "978-851-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 MAIN ST",
            "address_2": "UNIT 4",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761800",
            "telephone_number": "978-851-8768",
            "fax_number": "978-851-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS B. COIRO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "BLUTE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "978-851-8768",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "87726",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFT HEALTH PLAN",
            "identifier": "709987",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y65627",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "40400",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "605420",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tewksbury Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tewksbury Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tewksbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.