Provider Demographics
NPI:1528143252
Name:ONSITE THERAPY SOLUTIONS, INC
Entity type:Organization
Organization Name:ONSITE THERAPY SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:W
Authorized Official - Last Name:ROTH
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:978-697-4684
Mailing Address - Street 1:PO BOX 460
Mailing Address - Street 2:
Mailing Address - City:BOLTON
Mailing Address - State:MA
Mailing Address - Zip Code:01740-0460
Mailing Address - Country:US
Mailing Address - Phone:978-697-4684
Mailing Address - Fax:978-779-6167
Practice Address - Street 1:255 PARK AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-1953
Practice Address - Country:US
Practice Address - Phone:508-755-7272
Practice Address - Fax:508-755-7272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9641225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA4551239OtherCIGNA
MAAA22686OtherHARVARD PILGRIM HEALTHCAR
MAY68133OtherBCBS
MAY61326OtherBLUE CROSS BLUE SHIELD
MAY68133OtherBCBS