Provider Demographics
NPI:1306461041
Name:PHIT
Entity type:Organization
Organization Name:PHIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAIMEE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MACE
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:781-413-4214
Mailing Address - Street 1:148 EASTWAY
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-1109
Mailing Address - Country:US
Mailing Address - Phone:781-413-4214
Mailing Address - Fax:
Practice Address - Street 1:148 EASTWAY
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-1109
Practice Address - Country:US
Practice Address - Phone:781-413-4214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy