Provider Demographics
NPI:1679863922
Name:PT4U
Entity Type:Organization
Organization Name:PT4U
Other - Org Name:PT4U PHYSICAL THERAPY
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICAL THERAPIST/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:MACEACHRON
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:781-430-0078
Mailing Address - Street 1:328 GREAT RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-2359
Mailing Address - Country:US
Mailing Address - Phone:781-430-0078
Mailing Address - Fax:781-274-1259
Practice Address - Street 1:328 GREAT RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-2359
Practice Address - Country:US
Practice Address - Phone:781-430-0078
Practice Address - Fax:781-274-1259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-07
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA17910261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy