Provider Demographics
NPI:1659425973
Name:PARTNERS IN REHABILITATION LLC
Entity Type:Organization
Organization Name:PARTNERS IN REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:LOMBARDI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:781-233-2111
Mailing Address - Street 1:880 BROADWAY
Mailing Address - Street 2:PARTNERS IN REHAB
Mailing Address - City:SAUGUS
Mailing Address - State:MA
Mailing Address - Zip Code:01906
Mailing Address - Country:US
Mailing Address - Phone:781-233-2111
Mailing Address - Fax:781-233-2122
Practice Address - Street 1:880 BROADWAY
Practice Address - Street 2:PARTNERS IN REHAB
Practice Address - City:SAUGUS
Practice Address - State:MA
Practice Address - Zip Code:01906
Practice Address - Country:US
Practice Address - Phone:781-233-2111
Practice Address - Fax:781-233-2122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1742251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9786074Medicaid
MAY61120OtherBCBS
PT0018Medicare ID - Type Unspecified