Physical Therapy and Fitness Center of Raynham, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

237 Issued in MA

Legal business name

PHYSICAL THERAPY AND FITNESS CENTER OF RAYNHAM, INC.

Practice address

675 Paramount Dr
Suite 103
Raynham, MA 02767-5188

Phone

(508) 828-1011

Fax

(508) 828-1004

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Claire A Pacchielat

Title

President Owner

Phone

(508) 828-1011

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Physical Therapy and Fitness Center of Raynham Doing business as

Practitioners 2

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

• Bethany Lynn Akins, P.T.

  • Physical Therapist
  • Raynham, MA
  • NPI 1821340811
  NPD (past)
• Sarah Clayman, PT, DPT

  • Physical Therapist
  • Norton, MA
  • NPI 1396506200
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1861547523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SHORT ST",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751019",
            "telephone_number": "508-828-1011",
            "fax_number": "508-828-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 PARAMOUNT DR",
            "address_2": "SUITE 103",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027675188",
            "telephone_number": "508-828-1011",
            "fax_number": "508-828-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY AND FITNESS CENTER OF RAYNHAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "PACCHIELAT",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "508-828-1011"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9714375",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy and Fitness Center of Raynham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mrudula Patel, M.D.
• Arya Amol Pathak, DMD
• Brieanne Pereira, RN, BSN
• Mary Kate Peters, M.ED
• Brian Richard Petrie, D.C.
• Physicians Pain Management Center, Inc.
• Angelena Vanessa Piers
• Raven Pina
• Kara A Pitt, M.D.
• Plymouth Podiatry PC

• Physical Therapist in Raynham, MA
• Providers in Raynham, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.