Basic Information
| Provider Information | |||||||||
| NPI: | 1760549356 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NORWELL PHYSICAL THERAPY & SPORTS REHAB, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 306 WASHINGTON ST | ||||||||
| Address2: | |||||||||
| City: | NORWELL | ||||||||
| State: | MA | ||||||||
| PostalCode: | 020611704 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7816597937 | ||||||||
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| Practice Location | |||||||||
| Address1: | 306 WASHINGTON ST | ||||||||
| Address2: | |||||||||
| City: | NORWELL | ||||||||
| State: | MA | ||||||||
| PostalCode: | 020611704 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7816597937 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/02/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | JOHNSTON | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7816597937 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | PT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261Q00000X | 4900 | MA | Y | Ambulatory Health Care Facilities | Clinic/Center |
No ID Information.