Provider Demographics
NPI:1295779981
Name:UNITED PHYSICAL THERAPY
Entity type:Organization
Organization Name:UNITED PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:T
Authorized Official - Last Name:GIAMPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-250-0230
Mailing Address - Street 1:101 BRICK KILN RD
Mailing Address - Street 2:BLDG 1, UNIT 5
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-3282
Mailing Address - Country:US
Mailing Address - Phone:978-250-0230
Mailing Address - Fax:978-250-8424
Practice Address - Street 1:180 EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-5514
Practice Address - Country:US
Practice Address - Phone:781-387-8642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA665710OtherHARVARD PILGRIM
MA0012886OtherNEIGHBORHOOD HEALTH PLAN
MA666564OtherTUFTS HEALTH PLAN
MA9749781Medicaid
MA0126997OtherUNITED HEALTH CARE
MAY61154OtherBCBS
MAY61154OtherBCBS
MA9749781Medicaid