Olympic Physical Medicine

LBN: Olympic Physical Medicine
Olympic Physical Medicine is an health care organization with primary practice located at 200 Main Street 111, Stoneham MA 02180-1619. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is the primary health care specialty. Olympic Physical Medicine can be contacted via phone (617) 666-8800, or through White, Douglas E via phone (617) 666-8800.

Contact Information

Primary practice address
200 Main Street 111 Stoneham MA 02180-1619
Phone: (617) 666-8800
Fax: (617) 666-4488
Website:
Map and Directions
Authorized official contact:
Name: White, Douglas E MSPT, LATC, CSCS
Phone: (617) 666-8800

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1255369963
LBN Legal business name Olympic Physical Medicine
DBA Doing business as
Authorized official White, Douglas E MSPT, LATC, CSCS
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2006
Last updated Apr 20th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255369963 NPPES
Massachusetts Other Y61424 BC/BS
Massachusetts Other 0035582 BC/BS
Massachusetts Other AA36064 BC/BS
Massachusetts Other 2752329 BC/BS

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