Provider Demographics
NPI:1760052393
Name:HUB PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:HUB PHYSICAL THERAPY LLC
Other - Org Name:THRIVE PHYSICAL THERAPY LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER / PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:FATH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:781-504-2140
Mailing Address - Street 1:200 GREAT RD STE 208
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-2717
Mailing Address - Country:US
Mailing Address - Phone:781-504-2140
Mailing Address - Fax:
Practice Address - Street 1:200 GREAT RD STE 208
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-2717
Practice Address - Country:US
Practice Address - Phone:781-504-2140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-27
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty