Physical Therapy Innovations, Inc
Legal Business Name
Physical Therapy Innovations, Inc
NPI Number
1689620452
NPI Type
Organization
Enumeration Date
05/25/2006
Specialties
(Taxonomies)Name
Code
2251C2600X
2251E1200X
2251G0304X
2251H1200X
2251H1300X
2251N0400X
2251X0800X
2251P0200X
2251S0007X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
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