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Organization
PHYSICAL THERAPY INNOVATIONS, INC
Active
Organization
PHYSICAL THERAPY INNOVATIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN FRIESL (PRESIDENT)
(774) 696-8309
Entity
Organization
Contact information
Practice address
489 WASHINGTON ST STE 200, AUBURN, MA 01501-5709
(508) 721-0000
(508) 721-0100
Mailing address
489 WASHINGTON STREET, SUITE 200, AUBURN, MA 01501-5709
(508) 721-0000
(508) 721-0100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251H1200X
Hand Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XE0001X
Environmental Modification Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XG0600X
Gerontology Occupational Therapist
—
—
225XL0004X
Low Vision Occupational Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017444
NEIGHBORHOOD HEALTH
MA
01
—
106969
FIRST HEALTH
MA
05
—
110067079A
—
MA
01
—
41138
FALLON
MA
01
—
425920
CIGNA
MA
01
—
60147
AETNA
MA
01
—
612864
TUFTS
MA
01
—
626035
HP
MA
01
—
6400212
UNITED HEALTH
MA
01
—
79384401
NETWORK HEALTH
MA
05
—
9701371
—
MA
01
—
Y61125
BCBS
MA
Enumeration date
05/25/2006
Last updated
11/22/2024
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