Second Wind Physical Therapy & Sports Medicine INC.
Physical Therapist in East Boston, Massachusetts
1013106483- Practice location
- 115 Porter St, East Boston, MA 02128-2110
- Phone
- 617-569-2929
- Fax
- 617-569-2925
- Last updated
- September 8, 2023
Second Wind Physical Therapy & Sports Medicine INC. is a healthcare organization based in East Boston, MA. Second Wind Physical Therapy & Sports Medicine INC. practices in East Boston, MA. The NPI Number for Second Wind Physical Therapy & Sports Medicine INC. is 1013106483 and holds a License No. 15139 (MA). The current practice location address for Second Wind Physical Therapy & Sports Medicine INC. is 115 Porter St, East Boston, MA 02128-2110 and can be reached out via phone at 617-569-2929 and via fax at 617-569-2925.
Provider Profile Details
- NPI Number
- 1013106483
- Provider Name
- Second Wind Physical Therapy & Sports Medicine INC.
- Provider Entity Type
- Organization
- Address
- 115 Porter St, East Boston, MA 02128-2110
- Phone Number
- 617-569-2929
- Fax Number
- 617-569-2925
- Primary Taxonomy
- Physical Therapist · 225100000X
- Organization Subpart
- No
- Authorized Official
- Brendon Lachance, MS, PT · President · 617-429-2042
- Provider Enumeration Date
- October 22, 2007
- Last Update Date
- September 8, 2023
- Certification Date
- September 8, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 115 Porter St
East Boston, MA 02128-2110 - City
- East Boston
- State
- Massachusetts
- Zip
- 02128-2110
- Phone Number
- 617-569-2929
- Fax Number
- 617-569-2925
Provider Business Mailing Address Details
- Address
- 115 Porter St
East Boston, MA 02128-2110 - City
- East Boston
- State
- MA
- Zip
- 02128-2110
- Phone Number
- 617-569-2929
- Fax Number
- 617-569-2925
License Information
- License Number
- 15139
- License State
- MA
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Second Wind Physical Therapy & Sports Medicine INC.?
The NPI number of Second Wind Physical Therapy & Sports Medicine INC. is 1013106483. It was assigned on October 22, 2007 and is currently active in the NPPES registry.
What is the specialty of Second Wind Physical Therapy & Sports Medicine INC.?
Second Wind Physical Therapy & Sports Medicine INC. is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 15139.
Where does Second Wind Physical Therapy & Sports Medicine INC. practice?
The practice location is 115 Porter St, East Boston, MA 02128-2110. The office can be reached at 617-569-2929 (phone) or 617-569-2925 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013106483 directly on the NPPES registry website.