Provider Demographics
NPI:1588974398
Name:NEW ENGLAND PHYSICAL THERAPY PLUS
Entity type:Organization
Organization Name:NEW ENGLAND PHYSICAL THERAPY PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VPO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DONA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:508-269-9336
Mailing Address - Street 1:150 PARKING WAY
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169
Mailing Address - Country:US
Mailing Address - Phone:617-770-2224
Mailing Address - Fax:617-847-6935
Practice Address - Street 1:150 PARKINGWAY
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-5058
Practice Address - Country:US
Practice Address - Phone:617-770-2224
Practice Address - Fax:617-847-6935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19271225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty