Provider Demographics
NPI:1225850746
Name:R P PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:R P PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAMITA
Authorized Official - Middle Name:RAMBHAU
Authorized Official - Last Name:PANSARE
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, CMTPT
Authorized Official - Phone:669-226-2169
Mailing Address - Street 1:47 POND ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-2051
Mailing Address - Country:US
Mailing Address - Phone:669-226-2169
Mailing Address - Fax:
Practice Address - Street 1:47 POND ST UNIT 1
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-2051
Practice Address - Country:US
Practice Address - Phone:669-226-2169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty