Provider Demographics
NPI:1093291130
Name:TOP CARE PHYSICAL THERAPY REHAB
Entity Type:Organization
Organization Name:TOP CARE PHYSICAL THERAPY REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:DE LA PAZ-ARROYO
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:781-535-1078
Mailing Address - Street 1:373 CHATHAM ST # 2
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01902-2115
Mailing Address - Country:US
Mailing Address - Phone:781-535-1078
Mailing Address - Fax:978-393-3885
Practice Address - Street 1:373 CHATHAM ST # 2
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01902
Practice Address - Country:US
Practice Address - Phone:781-535-1078
Practice Address - Fax:978-393-3885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-12
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPENDINGMedicaid