Provider Demographics
NPI:1780631259
Name:SPECHT ORTHOPEDIC, INC.
Entity Type:Organization
Organization Name:SPECHT ORTHOPEDIC, INC.
Other - Org Name:SPECHT PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPECHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-675-3200
Mailing Address - Street 1:PO BOX 23
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02777-0023
Mailing Address - Country:US
Mailing Address - Phone:508-675-3200
Mailing Address - Fax:508-675-3488
Practice Address - Street 1:207 SWANSEA MALL DR
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:MA
Practice Address - Zip Code:02777-4120
Practice Address - Country:US
Practice Address - Phone:508-675-3200
Practice Address - Fax:508-675-3488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy