Provider Demographics
NPI:1255102364
Name:CHASE YOUR DREAMS PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:CHASE YOUR DREAMS PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/TREATING CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DECOSTE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:774-507-0903
Mailing Address - Street 1:47 CAUSEWAY ST
Mailing Address - Street 2:
Mailing Address - City:MILLIS
Mailing Address - State:MA
Mailing Address - Zip Code:02054-1003
Mailing Address - Country:US
Mailing Address - Phone:774-507-0903
Mailing Address - Fax:
Practice Address - Street 1:47 CAUSEWAY ST
Practice Address - Street 2:
Practice Address - City:MILLIS
Practice Address - State:MA
Practice Address - Zip Code:02054-1003
Practice Address - Country:US
Practice Address - Phone:774-507-0903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health