Active NPIOrganization

Advance Physical Therapy & Sport Rehab

Point of Service in Lynn, Massachusetts

NPI Number1417163817
Practice location
1 Market St Ste 3, 39 Cross Street Suite#205,peabody,ma 01960, Lynn, MA 01901-1044
Fax
—
Last updated
June 16, 2008

Advance Physical Therapy & Sport Rehab is a healthcare organization based in Lynn, MA. Advance Physical Therapy & Sport Rehab practices in Lynn, MA. The NPI Number for Advance Physical Therapy & Sport Rehab is 1417163817 and holds a License No. 6761 (MA). The current practice location address for Advance Physical Therapy & Sport Rehab is 1 Market St Ste 3, 39 Cross Street Suite#205,peabody,ma 01960, Lynn, MA 01901-1044 and can be reached out via phone at 781-592-0540.

Provider Profile Details

NPI Number
1417163817
Provider Name
Advance Physical Therapy & Sport Rehab
Provider Entity Type
Organization
Address
1 Market St Ste 3, 39 Cross Street Suite#205,peabody,ma 01960, Lynn, MA 01901-1044
Phone Number
781-592-0540
Primary Taxonomy
Point of Service · 305S00000X
Organization Subpart
No
Authorized Official
Mr. Joseph S O'Connor, MSPT, SCS, CSCS, EMT · Owner · 781-592-0540
Other Names
Physical Therapy (Other Name)
Provider Enumeration Date
May 15, 2007
Last Update Date
June 16, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Market St Ste 3
39 Cross Street Suite#205,peabody,ma 01960
Lynn, MA 01901-1044
City
Lynn
Zip
01901-1044
Phone Number
781-592-0540
Lynn, MA 01901Get directions →

Provider Business Mailing Address Details

Address
1 Market St 3RD Floor
Lynn, MA 01901
City
Lynn
State
MA
Zip
01901
Phone Number
781-593-5797

License Information

License Number
6761
License State
MA
Taxonomy
Point of Service · 305S00000X · 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 Advance Physical Therapy & Sport Rehab?

The NPI number of Advance Physical Therapy & Sport Rehab is 1417163817. It was assigned on May 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Advance Physical Therapy & Sport Rehab?

Advance Physical Therapy & Sport Rehab is registered under the primary taxonomy Point of Service (code 305S00000X), licensed in MA under license number 6761.

Where does Advance Physical Therapy & Sport Rehab practice?

The practice location is 1 Market St Ste 3, 39 Cross Street Suite#205,peabody,ma 01960, Lynn, MA 01901-1044. The office can be reached at 781-592-0540 (phone).

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 1417163817 directly on the NPPES registry website.

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