Provider Demographics
NPI:1932547783
Name:BE PAIN FREE PT INC
Entity Type:Organization
Organization Name:BE PAIN FREE PT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-298-6325
Mailing Address - Street 1:1520 BLUE HILL AVE
Mailing Address - Street 2:
Mailing Address - City:MATTAPAN
Mailing Address - State:MA
Mailing Address - Zip Code:02126-1747
Mailing Address - Country:US
Mailing Address - Phone:617-298-6325
Mailing Address - Fax:617-298-5410
Practice Address - Street 1:1520 BLUE HILL AVE
Practice Address - Street 2:
Practice Address - City:MATTAPAN
Practice Address - State:MA
Practice Address - Zip Code:02126-1747
Practice Address - Country:US
Practice Address - Phone:617-298-6325
Practice Address - Fax:617-298-5410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA758208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty