Provider Demographics
NPI:1306823653
Name:HARMELING PHYSICAL THERAPY & SPORTS FITNESS, INC.
Entity Type:Organization
Organization Name:HARMELING PHYSICAL THERAPY & SPORTS FITNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:HARMELING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-750-8188
Mailing Address - Street 1:85 CONSTITUTION LN
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-3694
Mailing Address - Country:US
Mailing Address - Phone:978-750-8188
Mailing Address - Fax:978-750-8186
Practice Address - Street 1:5 HUTCHINSON DR
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-3777
Practice Address - Country:US
Practice Address - Phone:978-750-8188
Practice Address - Fax:978-750-8186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-28
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPT0043Medicare PIN