Organization
HOUGHTON PHYSICAL THERAPY & SPORTS CONDITIONING, LLC
Active
Other names
Limited Liability Company
Organization subpart
No
Provider details
NPI number
Authorized official
TODD ALLEN HOUGHTON PHYSICAL THERAPIST (OWNER PHYSICAL THERAPIST)
(508) 223-2300
Entity
Organization
Contact information
Practice address
80 PARK ST, ATTLEBORO, MA 02703-2335
(508) 223-2300
(508) 223-2340
Mailing address
PO BOX 865, ATTLEBORO, MA 02703
(508) 223-2300
(508) 223-2340
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
387
MA
225100000X
Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000026914
BLUE CROSS BLUE SHIELD
RI
01
—
1730275942
AETNA
MA
01
—
610889
TUFTS
—
01
—
92826
FALLON
—
05
—
9725300
—
MA
01
—
AA16980
HARVARD PILGRIM HEALTHCAR
—
01
—
DP9318
RAILROAD MEDICARE
MA
01
—
PT0202
MEDICARE PTAN
MA
01
—
Y61358
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/05/2006
Last updated
05/17/2024
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