Provider Demographics
NPI:1316816333
Name:FEDERAL WORKERS COMPENSATION TREATMENT CENTER
Entity type:Organization
Organization Name:FEDERAL WORKERS COMPENSATION TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:REILLY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:413-368-2000
Mailing Address - Street 1:1124 BERKSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01151-1316
Mailing Address - Country:US
Mailing Address - Phone:413-368-2000
Mailing Address - Fax:413-368-2001
Practice Address - Street 1:1124 BERKSHIRE AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01151-1316
Practice Address - Country:US
Practice Address - Phone:413-368-2000
Practice Address - Fax:413-368-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-30
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty