# PHYSICAL THERAPY CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194723478
- **Authorized official:** RICHARD EGAN BS,MBA (MANAGER)
- **Authorized official phone:** (508) 428-0300

## Contact information

- **Practice address:** 719 MAIN ST, OSTERVILLE, MA 02655-1903
- **Practice address phone:** (508) 428-0300
- **Mailing address:** PO BOX 604, OSTERVILLE, MA 02655-0604
- **Mailing address phone:** (508) 428-0300
- **Mailing address fax:** (508) 428-1211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/12/2005
- **Last updated:** 11/24/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9799931 | — | MA |
| 01 | — | Y61076 | BCBS | MA |