Provider Demographics
NPI:1720276249
Name:QUALITY PHYSICAL THERAPY
Entity Type:Organization
Organization Name:QUALITY PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:TSCHIRPKE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:508-347-8141
Mailing Address - Street 1:179 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:STURBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01566-1284
Mailing Address - Country:US
Mailing Address - Phone:508-347-8141
Mailing Address - Fax:508-347-7576
Practice Address - Street 1:179 MAIN ST
Practice Address - Street 2:
Practice Address - City:STURBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01566-1158
Practice Address - Country:US
Practice Address - Phone:508-347-8141
Practice Address - Fax:508-347-7576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAOG0057OtherBLUE CROSS BLUE SHIELD