Provider Demographics
NPI:1225852106
Name:PLATINUM PHYSICAL THERAPY, INC.
Entity type:Organization
Organization Name:PLATINUM PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:CASADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-881-6750
Mailing Address - Street 1:15 W UNION ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01721-1499
Mailing Address - Country:US
Mailing Address - Phone:508-418-4769
Mailing Address - Fax:508-463-4224
Practice Address - Street 1:15 W UNION ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:MA
Practice Address - Zip Code:01721-1499
Practice Address - Country:US
Practice Address - Phone:508-418-4769
Practice Address - Fax:508-463-4224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty