Provider Demographics
NPI:1760515043
Name:CHEST PHYSICAL THERAPY SERVICES, INC
Entity Type:Organization
Organization Name:CHEST PHYSICAL THERAPY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:NADEAU
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:978-251-3144
Mailing Address - Street 1:15 TYNGSBORO ROAD
Mailing Address - Street 2:UNIT 4C
Mailing Address - City:NORTH CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863
Mailing Address - Country:US
Mailing Address - Phone:978-251-3144
Mailing Address - Fax:978-251-1155
Practice Address - Street 1:15 TYNGSBORO RD
Practice Address - Street 2:UNIT 4C
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863
Practice Address - Country:US
Practice Address - Phone:978-251-3144
Practice Address - Fax:978-251-1155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA105225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA723141OtherTUFTS
MA120514OtherBLUE CROSS
MA617991OtherHARVARD