1295779981 NPI number — UNITED PHYSICAL THERAPY

Table of content: (NPI 1295779981)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295779981 NPI number — UNITED PHYSICAL THERAPY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNITED PHYSICAL THERAPY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295779981
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/10/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
101 BRICK KILN RD
Provider Second Line Business Mailing Address:
BLDG 1, UNIT 5
Provider Business Mailing Address City Name:
CHELMSFORD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01824-3282
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-250-0230
Provider Business Mailing Address Fax Number:
978-250-8424

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
180 EXCHANGE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MALDEN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02148-5514
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-387-8642
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GIAMPA
Authorized Official First Name:
FREDERICK
Authorized Official Middle Name:
T
Authorized Official Title or Position:
CO-OWNER
Authorized Official Telephone Number:
978-250-0230

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 665710 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0012886 . This is a "NEIGHBORHOOD HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 666564 . This is a "TUFTS HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 9749781 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0126997 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: Y61154 . This is a "BCBS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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