Active NPI
Lowell Physical Therapy
- Health Maintenance Organization
- Lowell, MA
National Provider Identifier
1831355239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- LOWELL PHYSICAL THERAPY
- Practice address
- 750 Merrimack St
Lowell, MA 01854-3572 - Phone
- (978) 452-3430
- Fax
- (978) 452-3432
- NPI assigned
- Aug 5, 2008
- Last updated
- Aug 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Soeksa Song
- Title
- Office Manager
- Phone
- (978) 452-3430
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | NU | Primary |
Addresses
Primary practice location
750 Merrimack St
Lowell, MA 01854-3572
Mailing address
750 Merrimack St
Lowell, MA 01854-3572
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217894400000",
"number": "1831355239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 MERRIMACK ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018543572",
"fax_number": "978-452-3432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 MERRIMACK ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018543572",
"telephone_number": "978-452-3430",
"fax_number": "978-452-3432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOWELL PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-05",
"last_updated": "2008-08-05",
"status": "A",
"authorized_official_last_name": "SONG",
"authorized_official_first_name": "SOEKSA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "978-452-3430"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MA
- Lowell Hematology and Oncology PC
- Lowell Kids Dentistry
- Lowell Middlesex Academy Charter School
- Lowell Optical Company
- Lowell Oral Surgery Associates, Inc
- Lowell Physical Therapy 1
- Lowell Radiological Associates, PC
- Lowell Rehabilitation and Nursing Center LLC
- Lowell Rehabilitation Center, Inc.
- Lowell SNF Operations, LLC (Northwood Rehabilitation & Health Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.