Provider Demographics
NPI:1942353545
Name:SPORTS AND ORTHOPEDIC PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:SPORTS AND ORTHOPEDIC PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:POWER
Authorized Official - Suffix:II
Authorized Official - Credentials:MSPT, CSCS
Authorized Official - Phone:857-472-1143
Mailing Address - Street 1:50 BELCHER ST
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-1348
Mailing Address - Country:US
Mailing Address - Phone:857-472-1143
Mailing Address - Fax:
Practice Address - Street 1:343 NEPONSET ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-1997
Practice Address - Country:US
Practice Address - Phone:781-828-4100
Practice Address - Fax:781-828-4103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy