Provider Demographics
NPI:1568145332
Name:A&E PHYSIOFIT AT HOME PLLC
Entity type:Organization
Organization Name:A&E PHYSIOFIT AT HOME PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELLIOTT
Authorized Official - Middle Name:L
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:978-290-6085
Mailing Address - Street 1:383R LOWELL ST STE 2G
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-6317
Mailing Address - Country:US
Mailing Address - Phone:978-290-6085
Mailing Address - Fax:978-570-5529
Practice Address - Street 1:383R LOWELL ST STE 2G
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-6317
Practice Address - Country:US
Practice Address - Phone:978-290-6085
Practice Address - Fax:978-570-5529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-09
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty