Organization Name: | ORTHOSPORTS & AQUATIC PHYSICAL THERAPY, PC |
NPI Number: | 1407803935 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIPP KEVIN DYE (PRESIDENT) |
Mailing Address: | 1237 Highland Ave Needham |
State: | MA US |
Postal Code: | 024922615 |
Phone Number: | 7814441290 |
Fax Number: | 8663051388 |
NPI Enumeration Date: | 05/29/2006 |
NPI Last Update Date: | 08/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 10955 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |