Provider Demographics
NPI:1568145332
Name:A&E PHYSIOFIT AT HOME PLLC
Entity Type:Organization
Organization Name:A&E PHYSIOFIT AT HOME PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PHYSICAL THERAPY ASSISTAN
Authorized Official - Prefix:MR
Authorized Official - First Name:ELLIOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-290-6085
Mailing Address - Street 1:15 HILL STREET EXT
Mailing Address - Street 2:
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864-2337
Mailing Address - Country:US
Mailing Address - Phone:978-590-4167
Mailing Address - Fax:
Practice Address - Street 1:15 HILL STREET EXT
Practice Address - Street 2:
Practice Address - City:NORTH READING
Practice Address - State:MA
Practice Address - Zip Code:01864-2337
Practice Address - Country:US
Practice Address - Phone:978-590-4167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-09
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty