Organization
MARATHON PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA LEIGH MCKINNEY MS, PT (CO-OWNER)
(508) 285-5533
Entity
Organization
Contact information
Practice address
425 CENTRE ST, NEWTON, MA 02458-2063
(617) 244-1990
(617) 244-1811
Mailing address
250 E MAIN ST, NORTON, MA 02766-2436
(508) 285-5533
(508) 285-7977
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
274
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033550
NEIGHBORHOOD HEALTH PLAN
MA
01
—
602335
TUFTS HEALTH PLAN
MA
05
—
9729691
—
MA
01
—
AA9925
HPHC
MA
01
—
Y61396
BCBS-MA
MA
Enumeration date
03/13/2007
Last updated
08/22/2020
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