Provider Demographics
NPI:1366414211
Name:HINGHAM PHYSICAL THERAPY, INC.
Entity type:Organization
Organization Name:HINGHAM PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:SAN ANTONIO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:781-740-4900
Mailing Address - Street 1:184 LINCOLN ST
Mailing Address - Street 2:UNIT C
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-1718
Mailing Address - Country:US
Mailing Address - Phone:781-740-4900
Mailing Address - Fax:781-740-4930
Practice Address - Street 1:184 LINCOLN ST
Practice Address - Street 2:UNIT C
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-1718
Practice Address - Country:US
Practice Address - Phone:781-740-4900
Practice Address - Fax:781-740-4930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-05
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA605634900OtherACS
MA616839OtherTUFTS
MA705595OtherUNITEDHEALTH
MA705595OtherUNIVERSAL SMARTCORP
MAY61375OtherBCBS GROUP NUMBER
MAAA7865OtherHARVARD PILGRIM H C
MA2203450OtherCIGNA
MA4401494OtherORTHONET
MA95616502OtherNETWORK HEALTH
MA36092OtherNHP
MA7721847OtherAETNA
MA4401494OtherORTHONET