Provider Demographics
NPI:1083378202
Name:ANCHOR PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:ANCHOR PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:FOGARTY
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:781-783-5373
Mailing Address - Street 1:3 MILL WHARF PLZ STE N11
Mailing Address - Street 2:
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066-1379
Mailing Address - Country:US
Mailing Address - Phone:781-783-5373
Mailing Address - Fax:781-987-9267
Practice Address - Street 1:3 MILL WHARF PLZ STE N11
Practice Address - Street 2:
Practice Address - City:SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066-1379
Practice Address - Country:US
Practice Address - Phone:781-783-5373
Practice Address - Fax:781-987-9267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-25
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty