Main Street Physical Therapy
LBN: North South Physical Therapy, Inc
Main Street Physical Therapy is an health care organization with primary practice located at 95 Main St , Brockton MA 02301-4010. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is the primary health care specialty.
North South Physical Therapy, Inc can be contacted via phone (508) 559-9696, or through Garofalo, Philip Joseph via phone (508) 559-9696.
Contact Information
Primary practice address
95 Main St
Brockton MA 02301-4010
Phone: (508) 559-9696
Fax: (508) 559-9751
Website:
Authorized official contact:
Name: Garofalo, Philip Joseph Physical Therapist Assistant (PTA)
Phone: (508) 559-9696
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 124 | Massachusetts |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 124 | Massachusetts |
Profile Details
| NPI number | 1578791042 |
|---|---|
| LBN Legal business name | North South Physical Therapy, Inc |
| DBA Doing business as | Main Street Physical Therapy |
| Authorized official | Garofalo, Philip Joseph Physical Therapist Assistant (PTA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 23rd, 2009 |
| Last updated | Jun 23rd, 2009 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578791042 | NPPES |
| Massachusetts | Other | 0029723 | NEIGHBORHOOD HEALTH |
| Massachusetts | Other | AA9360 | NEIGHBORHOOD HEALTH |
| Massachusetts | Other | 7380356 | NEIGHBORHOOD HEALTH |
| Massachusetts | MEDICAID | 9786082 | NEIGHBORHOOD HEALTH |
| Massachusetts | Other | Y61200 | NEIGHBORHOOD HEALTH |
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