Organization
SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC
Active
Other names
Physical Therapy North
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J FEHNEL MD (PRESIDENT)
(978) 818-6350
Entity
Organization
Contact information
Practice address
331 GLOUCESTER CROSSING RD, GLOUCESTER, MA 01930-2283
(978) 818-6493
Mailing address
1 ORTHOPEDICS DR STE 2, PEABODY, MA 01960-1669
(978) 818-6493
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110072100A
—
MA
Enumeration date
03/02/2021
Last updated
11/13/2025
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