Organization
SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC.
Active
Other names
Physical Therapy North
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY POLANSKY M.D. (PRESIDENT)
(978) 818-6350
Entity
Organization
Contact information
Practice address
2 1ST AVE, SUITE 211, PEABODY, MA 01960-4959
(978) 535-1213
Mailing address
1 ORTHOPEDICS DR, 2ND FLOOR, PEABODY, MA 01960-1668
(978) 818-6350
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9773363
—
MA
01
—
M15814
MEDICARE
MA
Enumeration date
05/01/2013
Last updated
11/13/2025
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