Lynn Physical Therapy

Organization Active NPI Specialist · Lynn, MA

NPI 1669646196 · NPPES record last updated Apr 16, 2008

Key facts

NPI
1669646196
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
License
296 (MA)
Legal business name
LYNN PHYSICAL THERAPY
Practice address
26 State St
Lynn, MA 01901-1505
Phone
(781) 599-3365
Fax
(781) 599-3995
NPI assigned
Apr 16, 2008
Organization subpart
No

Authorized official

Name
Omayra Vazquez
Title
Office Manager
Phone
(781) 599-3365

Practitioners 1

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

National Provider Directory

Locations

26 State St
Lynn, MA 01901
Phone (781) 599-3365

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193200000X MULTI-SPECIALTY GROUP
174400000X 296 MA Yes

Addresses

Primary practice location

26 State St
Lynn, MA 01901-1505

Mailing address

26 State St
Lynn, MA 01901-1505
Phone (781) 599-3365

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 16, 2008.

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1669646196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 STATE ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011505",
            "telephone_number": "781-599-3365",
            "fax_number": "781-599-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 STATE ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011505",
            "telephone_number": "781-599-3365",
            "fax_number": "781-599-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "OMAYRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "781-599-3365"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

All providers in Lynn, MA · Specialist in Massachusetts

Sources for this page

Verify at the official NPI Registry.