Provider Demographics
NPI:1013518448
Name:THE PT ZONE LLC
Entity Type:Organization
Organization Name:THE PT ZONE LLC
Other - Org Name:THE PT ZONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DRAGUN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:781-328-0400
Mailing Address - Street 1:136 CANAL ST UNIT 4
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-4999
Mailing Address - Country:US
Mailing Address - Phone:781-328-0400
Mailing Address - Fax:
Practice Address - Street 1:136 CANAL ST UNIT 4
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-4999
Practice Address - Country:US
Practice Address - Phone:781-328-0400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-03
Last Update Date:2022-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy