Provider Demographics
NPI:1083893473
Name:LOUIS. B. COIRO, INC.
Entity Type:Organization
Organization Name:LOUIS. B. COIRO, INC.
Other - Org Name:DRUM HILL PHYSICAL AND SPORTS THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:B
Authorized Official - Last Name:COIRO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:978-851-8768
Mailing Address - Street 1:10 JEAN AVE
Mailing Address - Street 2:10
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-1739
Mailing Address - Country:US
Mailing Address - Phone:978-441-9452
Mailing Address - Fax:978-454-9292
Practice Address - Street 1:10 JEAN AVE
Practice Address - Street 2:SUITE10
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-1739
Practice Address - Country:US
Practice Address - Phone:978-441-9452
Practice Address - Fax:978-454-9292
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOUIS B. COIRO, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-01
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8437225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAOG0037OtherBCBS
1249180002Medicare NSC