Provider Demographics
NPI:1831306281
Name:SCHAEFFER PHYSICAL THERAPY AND SPORTS MEDICINE ASSOCIATES, INC
Entity type:Organization
Organization Name:SCHAEFFER PHYSICAL THERAPY AND SPORTS MEDICINE ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:SCHAEFFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-528-3240
Mailing Address - Street 1:PO BOX 88
Mailing Address - Street 2:
Mailing Address - City:MEDFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02052-0088
Mailing Address - Country:US
Mailing Address - Phone:508-376-2100
Mailing Address - Fax:
Practice Address - Street 1:18 PRISCILLA CIR
Practice Address - Street 2:
Practice Address - City:WELLESLEY HILLS
Practice Address - State:MA
Practice Address - Zip Code:02481-5311
Practice Address - Country:US
Practice Address - Phone:508-376-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4729174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty