Provider Demographics
NPI:1700692134
Name:PHYSICAL THERAPY NEW ENGLAND CONSULTANTS LLC
Entity type:Organization
Organization Name:PHYSICAL THERAPY NEW ENGLAND CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:REILLY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:781-490-3800
Mailing Address - Street 1:19 MIDSTATE DR STE 120
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-1858
Mailing Address - Country:US
Mailing Address - Phone:781-490-3800
Mailing Address - Fax:781-490-3838
Practice Address - Street 1:19 MIDSTATE DR STE 120
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-1858
Practice Address - Country:US
Practice Address - Phone:781-490-3800
Practice Address - Fax:781-490-3838
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHYSICAL THERAPY NEW ENGLAND HOLDING CO. LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy