Provider Demographics
NPI:1275146383
Name:BIOPERFORMANCE PHYSICAL THERAPY
Entity Type:Organization
Organization Name:BIOPERFORMANCE PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:978-604-8538
Mailing Address - Street 1:74 MARBLEHEAD ST
Mailing Address - Street 2:
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864-1527
Mailing Address - Country:US
Mailing Address - Phone:978-604-8538
Mailing Address - Fax:
Practice Address - Street 1:50 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH READING
Practice Address - State:MA
Practice Address - Zip Code:01864-2292
Practice Address - Country:US
Practice Address - Phone:978-604-8538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy