Provider Demographics
NPI:1275865883
Name:ACES PHYSICAL THERAPY -LLC
Entity Type:Organization
Organization Name:ACES PHYSICAL THERAPY -LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:MELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:508-285-1970
Mailing Address - Street 1:69 BAYVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:BERKLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02779-1924
Mailing Address - Country:US
Mailing Address - Phone:508-493-2511
Mailing Address - Fax:508-285-1970
Practice Address - Street 1:314 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:MA
Practice Address - Zip Code:02766-2571
Practice Address - Country:US
Practice Address - Phone:508-285-1970
Practice Address - Fax:508-285-1972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-06
Last Update Date:2010-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA160102251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty