Provider Demographics
NPI:1104039395
Name:WESTWOOD PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:WESTWOOD PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURI
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:781-326-9402
Mailing Address - Street 1:805 HIGH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-2539
Mailing Address - Country:US
Mailing Address - Phone:781-326-9402
Mailing Address - Fax:781-326-0661
Practice Address - Street 1:27 MILLSTON RD
Practice Address - Street 2:
Practice Address - City:MILLIS
Practice Address - State:MA
Practice Address - Zip Code:02054
Practice Address - Country:US
Practice Address - Phone:508-376-0881
Practice Address - Fax:781-326-0661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
602661OtherH PILGRIM
693992OtherTUFTS
MAY65637Medicare ID - Type Unspecified