Provider Demographics
NPI:1881041135
Name:WORK IT OUT PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:WORK IT OUT PHYSICAL THERAPY, LLC
Other - Org Name:BARKWELL PHYSICAL THERAPY, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BARKWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:617-721-7432
Mailing Address - Street 1:1224 DORCHESTER AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02125-1519
Mailing Address - Country:US
Mailing Address - Phone:617-721-7432
Mailing Address - Fax:617-315-4001
Practice Address - Street 1:1224 DORCHESTER AVE STE 5
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02125-1519
Practice Address - Country:US
Practice Address - Phone:617-721-7432
Practice Address - Fax:617-315-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-17
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA16719261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1902939929OtherINDIVIDUAL NPI
MA1902939929OtherINDIVIDUAL NPI