# SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Physical Therapy North
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679168652
- **Authorized official:** DAVID J FEHNEL MD (PRESIDENT)
- **Authorized official phone:** (978) 818-6350

## Contact information

- **Practice address:** 331 GLOUCESTER CROSSING RD, GLOUCESTER, MA 01930-2283
- **Practice address phone:** (978) 818-6493
- **Mailing address:** 1 ORTHOPEDICS DR STE 2, PEABODY, MA 01960-1669
- **Mailing address phone:** (978) 818-6493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/02/2021
- **Last updated:** 11/13/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110072100A | — | MA |