Provider Demographics
NPI:1306870159
Name:LOUIS B. COIRO, INC
Entity type:Organization
Organization Name:LOUIS B. COIRO, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:COIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-441-9452
Mailing Address - Street 1:10 JEAN AVE
Mailing Address - Street 2:STE 10
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-1739
Mailing Address - Country:US
Mailing Address - Phone:978-441-9452
Mailing Address - Fax:978-454-9292
Practice Address - Street 1:10 JEAN AVE
Practice Address - Street 2:STE 10
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-1739
Practice Address - Country:US
Practice Address - Phone:978-441-9452
Practice Address - Fax:978-454-9292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA715160OtherTUFTS HEALTH PLAN
MAY61416OtherBCBS
MA36502OtherFALLON
MA605420OtherHARVARD PILGRIM
MA605420OtherHARVARD PILGRIM
MAPT0002Medicare PIN
MAY61416OtherBCBS
MA9701541Medicaid
1407833718Medicare PIN
MA1306870159Medicare PIN