Provider Demographics
NPI:1275075996
Name:CAREWELL PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:CAREWELL PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIPTI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:978-746-5295
Mailing Address - Street 1:871 TURNPIKE ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-6127
Mailing Address - Country:US
Mailing Address - Phone:978-746-5295
Mailing Address - Fax:978-824-9335
Practice Address - Street 1:871 TURNPIKE ST
Practice Address - Street 2:SUITE 108
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-6127
Practice Address - Country:US
Practice Address - Phone:978-746-5295
Practice Address - Fax:978-824-9335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-11
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty