Provider Demographics
NPI:1427634898
Name:CHELSEA PHYSICAL THERAPY
Entity type:Organization
Organization Name:CHELSEA PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-947-2474
Mailing Address - Street 1:100 EVERETT AVE # 3A
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150-2309
Mailing Address - Country:US
Mailing Address - Phone:617-947-2474
Mailing Address - Fax:
Practice Address - Street 1:100 EVERETT AVE # 3A
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-2309
Practice Address - Country:US
Practice Address - Phone:617-947-2474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty