Organization Name: | BAY STATE PHYSICAL THERAPY OF RANDOLPH PC |
NPI Number: | 1740390459 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN FITZSIMMONS (CEO) |
Mailing Address: | 362 Belmont St Brockton |
State: | MA US |
Postal Code: | 023014950 |
Phone Number: | 5085847711 |
Fax Number: | 5085847744 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 01/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |