Organization

Physical Therapy Innovations, Inc

Legal Business Name

Physical Therapy Innovations, Inc

NPI Number

1689620452

NPI Type

Organization

Enumeration Date

05/25/2006

Contact
Information

Purpose

Mailing
Location

Address

489 WASHINGTON STREET
489 WASHINGTON ST STE 200

City

Auburn
Auburn

State

MA
MA

Postal Code

01501-5709
01501-5709

Country

US
US

Telephone Number

(508) 721-0000
(508) 721-0000

Authorized Official

Name

Colleen Friesl

Title or Position

PRESIDENT

Telephone Number

(774) 696-8309

Identifiers

Identifier

106969
60147
0017444
9701371
Y61125
110067079A
41138
6400212
79384401
Unknown
Unknown
Unknown
Unknown

Identifier State

MA
MA
MA
MA
MA
MA
MA
MA
MA
Unknown
Unknown
Unknown
Unknown

Identifier Issuer

FIRST HEALTH
AETNA
NEIGHBORHOOD HEALTH
Unknown
BCBS
Unknown
FALLON
UNITED HEALTH
NETWORK HEALTH
Unknown
Unknown
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/07/2023

Provider Address