Provider Demographics
NPI:1265562896
Name:CARE NET PHYSICAL THERAPY AND REHABILITATION SERVICES INC
Entity type:Organization
Organization Name:CARE NET PHYSICAL THERAPY AND REHABILITATION SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGIOS
Authorized Official - Middle Name:E
Authorized Official - Last Name:VOLANAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-323-8013
Mailing Address - Street 1:41 POPLAR STREET
Mailing Address - Street 2:
Mailing Address - City:ROSLINDALLE
Mailing Address - State:MA
Mailing Address - Zip Code:02131
Mailing Address - Country:US
Mailing Address - Phone:617-323-8013
Mailing Address - Fax:617-323-8014
Practice Address - Street 1:41 POPLAR STREET
Practice Address - Street 2:
Practice Address - City:ROSLINDALLE
Practice Address - State:MA
Practice Address - Zip Code:02131
Practice Address - Country:US
Practice Address - Phone:617-323-8013
Practice Address - Fax:617-323-8014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA312261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0700324OtherUNITED HEALTH CARE
MA626280OtherHARVARD PILGRIM HEALTH CA
MA688157OtherTUFTS HEALTH CARE
MAY61292OtherBCBS
MA0022742OtherNEIGHBORHOOD HEALTH PLAN
MA2466743OtherAETNA HEALTH CARE