Provider Demographics
NPI:1316008337
Name:WESTWOOD PHYSICAL THERAPY
Entity Type:Organization
Organization Name:WESTWOOD PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICAL THERAPY
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 1:125 HIGH ST
Mailing Address - Street 2:UNIT 8
Mailing Address - City:MANSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02048-2165
Mailing Address - Country:US
Mailing Address - Phone:508-261-1080
Mailing Address - Fax:508-261-9203
Practice Address - Street 1:125 HIGH ST
Practice Address - Street 2:UNIT 8
Practice Address - City:MANSFIELD
Practice Address - State:MA
Practice Address - Zip Code:02048-2165
Practice Address - Country:US
Practice Address - Phone:508-261-1080
Practice Address - Fax:508-261-9203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
606431OtherHARVARD-PILGRIM
Y65644OtherBLUE CROSS BLUE SHIELD MA
4312067OtherAETNA
726219OtherTUFTS
YY6119Medicare ID - Type Unspecified