Active NPIOrganization

South Shore Sports & Muscular

Physical Therapist, Orthopedic in East Weymouth, Massachusetts

NPI Number1104822576
Practice location
90 Libbey Industrial Pkwy, Ste 103, East Weymouth, MA 02189-3129
Fax
781-335-1556
Last updated
December 19, 2011

South Shore Sports & Muscular is a healthcare organization based in East Weymouth, MA. South Shore Sports & Muscular practices in East Weymouth, MA. The NPI Number for South Shore Sports & Muscular is 1104822576 and holds a License No. 5290 (MA). The current practice location address for South Shore Sports & Muscular is 90 Libbey Industrial Pkwy, Ste 103, East Weymouth, MA 02189-3129 and can be reached out via phone at 781-331-9600 and via fax at 781-335-1556.

Provider Profile Details

NPI Number
1104822576
Provider Name
South Shore Sports & Muscular
Provider Entity Type
Organization
Address
90 Libbey Industrial Pkwy, Ste 103, East Weymouth, MA 02189-3129
Phone Number
781-331-9600
Fax Number
781-335-1556
Primary Taxonomy
Physical Therapist, Orthopedic · 2251X0800X
Organization Subpart
No
Authorized Official
Mr. Stephen Lally Newcomb · General Manager · 781-331-9600
Provider Enumeration Date
June 22, 2005
Last Update Date
December 19, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
90 Libbey Industrial Pkwy
Ste 103
East Weymouth, MA 02189-3129
Zip
02189-3129
Phone Number
781-331-9600
Fax Number
781-335-1556
East Weymouth, MA 02189Get directions →

Provider Business Mailing Address Details

Address
90 Libbey Industrial Pkwy
Ste 103
East Weymouth, MA 02189-3129
City
East Weymouth
State
MA
Zip
02189-3129
Phone Number
781-331-9600
Fax Number
781-335-1556

License Information

License Number
5290
License State
MA
Taxonomy
Physical Therapist, Orthopedic · 2251X0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 South Shore Sports & Muscular?

The NPI number of South Shore Sports & Muscular is 1104822576. It was assigned on June 22, 2005 and is currently active in the NPPES registry.

What is the specialty of South Shore Sports & Muscular?

South Shore Sports & Muscular is registered under the primary taxonomy Physical Therapist, Orthopedic (code 2251X0800X), licensed in MA under license number 5290.

Where does South Shore Sports & Muscular practice?

The practice location is 90 Libbey Industrial Pkwy, Ste 103, East Weymouth, MA 02189-3129. The office can be reached at 781-331-9600 (phone) or 781-335-1556 (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 1104822576 directly on the NPPES registry website.

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