Organization
EVERETT REHABILITATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CARPINITO P.T. (OWNER THERAPIST)
(617) 389-0359
Entity
Organization
Contact information
Practice address
563 BROADWAY, EVERETT, MA 02149-3749
(617) 389-0359
(617) 389-4031
Mailing address
PO BOX 490953, EVERETT, MA 02149-0016
(617) 389-0359
(617) 389-4031
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
301
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y61295
BLUE CROSS
MA
Enumeration date
06/07/2007
Last updated
08/22/2020
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