Provider Demographics
NPI:1558586065
Name:CYNTHIA S ROWE PT
Entity Type:Organization
Organization Name:CYNTHIA S ROWE PT
Other - Org Name:ROWE PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:617-244-4462
Mailing Address - Street 1:1400 CENTRE ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-2454
Mailing Address - Country:US
Mailing Address - Phone:617-244-4462
Mailing Address - Fax:617-244-4435
Practice Address - Street 1:1400 CENTRE ST
Practice Address - Street 2:SUITE 104
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-2454
Practice Address - Country:US
Practice Address - Phone:617-244-4462
Practice Address - Fax:617-244-4435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPT0109Medicare PIN