Provider Demographics
NPI:1548558448
Name:GREAT BARRINGTON PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:GREAT BARRINGTON PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:KAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-528-0929
Mailing Address - Street 1:789 MAIN ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:GREAT BARRINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01230-2217
Mailing Address - Country:US
Mailing Address - Phone:413-528-0929
Mailing Address - Fax:413-528-6123
Practice Address - Street 1:789 MAIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:GREAT BARRINGTON
Practice Address - State:MA
Practice Address - Zip Code:01230-2217
Practice Address - Country:US
Practice Address - Phone:413-528-0929
Practice Address - Fax:413-528-6123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-13
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty