Second Wind Physical Therapy & Sports Medicine Inc.

LBN: Second Wind Physical Therapy & Sports Medicine Inc.
Second Wind Physical Therapy & Sports Medicine Inc. is an health care organization with primary practice located at 115 Porter St , East Boston MA 02128-2110. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Second Wind Physical Therapy & Sports Medicine Inc. can be contacted via phone (617) 569-2929, or through Lachance, Brendon via phone (617) 429-2042.

Contact Information

Primary practice address
115 Porter St East Boston MA 02128-2110
Phone: (617) 569-2929
Fax: (617) 569-2925
Website:
Map and Directions
Authorized official contact:
Name: Lachance, Brendon MS, PT
Phone: (617) 429-2042

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 15139 Massachusetts

Profile Details

NPI number 1013106483
LBN Legal business name Second Wind Physical Therapy & Sports Medicine Inc.
DBA Doing business as
Authorized official Lachance, Brendon MS, PT
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2007
Last updated Sep 8th, 2023 - about 2 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 1013106483 NPPES
Massachusetts MEDICAID 0330299

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