Organization
MOUNT HOPE PHYSICAL THERAPY
Active
Other names
MOUNT HOPE PHYSICAL & AQUATIC THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW J NEVES II PTA (PRESIDENT)
(508) 379-0090
Entity
Organization
Contact information
Practice address
1738 GRAND ARMY HWY, SWANSEA, MA 02777-3906
(508) 379-0090
(508) 379-6050
Mailing address
1738 GRAND ARMY HIGHWAY, SWANSEA, MA 02777
(508) 379-0090
(508) 379-6050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
8384
MA
261QP2000X
Physical Therapy Clinic/Center
Primary
338
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1100844814A
—
MA
01
—
1831401405
NPI (INDIVIDUAL)
MA
01
—
1871657163
NPI (GROUP)
MA
01
—
1942249651
NPI (INDIVIDUAL)
MA
01
—
VX0303
PTAN
MA
01
—
VX2642
PTAN
MA
Enumeration date
12/20/2006
Last updated
04/01/2014
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