Provider Demographics
NPI:1518564566
Name:ANN PAPPAS PHYSICAL THERAPY
Entity Type:Organization
Organization Name:ANN PAPPAS PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPPAS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:617-901-7156
Mailing Address - Street 1:82 WILDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-2735
Mailing Address - Country:US
Mailing Address - Phone:617-901-7156
Mailing Address - Fax:
Practice Address - Street 1:470 WASHINGTON ST STE 31
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-2343
Practice Address - Country:US
Practice Address - Phone:781-762-6153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1831101Medicaid
MA281149OtherTUFTS
MAY69183OtherBLUE CROSS/ BLUE SHIELD