Provider Demographics
NPI:1942747993
Name:COMPLETE GAME PHYSICAL THERAPY, PC
Entity Type:Organization
Organization Name:COMPLETE GAME PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:G
Authorized Official - Last Name:CROSSMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPT
Authorized Official - Phone:978-710-7204
Mailing Address - Street 1:73 PRINCETON STREET
Mailing Address - Street 2:SUITE 8
Mailing Address - City:NORTH CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863
Mailing Address - Country:US
Mailing Address - Phone:978-710-7204
Mailing Address - Fax:978-710-5764
Practice Address - Street 1:73 PRINCETON STREET
Practice Address - Street 2:SUITE 8
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863
Practice Address - Country:US
Practice Address - Phone:978-710-7204
Practice Address - Fax:978-710-5764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-30
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty