Active NPIOrganization

Stay Active Physical Therapy And Performance

Clinic/Center, Physical Therapy in Hyde Park, Massachusetts

NPI Number1457920118
Practice location
27 Tacoma St, Hyde Park, MA 02136-3203
Fax
—
Last updated
June 17, 2021

Stay Active Physical Therapy And Performance is a healthcare organization based in Hyde Park, MA. Stay Active Physical Therapy And Performance practices in Hyde Park, MA. The NPI Number for Stay Active Physical Therapy And Performance is 1457920118. The current practice location address for Stay Active Physical Therapy And Performance is 27 Tacoma St, Hyde Park, MA 02136-3203 and can be reached out via phone at 857-204-6228.

Provider Profile Details

NPI Number
1457920118
Provider Name
Stay Active Physical Therapy And Performance
Provider Entity Type
Organization
Address
27 Tacoma St, Hyde Park, MA 02136-3203
Phone Number
857-204-6228
Primary Taxonomy
Clinic/Center, Physical Therapy · 261QP2000X
Organization Subpart
No
Authorized Official
Khaleel Abdul-Jabbaar · Physical Therapist · 857-204-6228
Provider Enumeration Date
June 17, 2021
Last Update Date
June 17, 2021
Certification Date
June 17, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
27 Tacoma St
Hyde Park, MA 02136-3203
Zip
02136-3203
Phone Number
857-204-6228
Hyde Park, MA 02136Get directions →

Provider Business Mailing Address Details

Address
27 Tacoma St
Hyde Park, MA 02136-3203
City
Hyde Park
State
MA
Zip
02136-3203
Phone Number
857-204-6228

License Information

Taxonomy
Clinic/Center, Physical Therapy · 261QP2000X · 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 Stay Active Physical Therapy And Performance?

The NPI number of Stay Active Physical Therapy And Performance is 1457920118. It was assigned on June 17, 2021 and is currently active in the NPPES registry.

What is the specialty of Stay Active Physical Therapy And Performance?

Stay Active Physical Therapy And Performance is registered under the primary taxonomy Clinic/Center, Physical Therapy (code 261QP2000X).

Where does Stay Active Physical Therapy And Performance practice?

The practice location is 27 Tacoma St, Hyde Park, MA 02136-3203. The office can be reached at 857-204-6228 (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 1457920118 directly on the NPPES registry website.

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