Provider Demographics
NPI:1760208722
Name:THELOS PT LLC
Entity type:Organization
Organization Name:THELOS PT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FRANCHISE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-407-4214
Mailing Address - Street 1:44 WINTHROP ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02465-2309
Mailing Address - Country:US
Mailing Address - Phone:617-407-4214
Mailing Address - Fax:
Practice Address - Street 1:20 SPEEN ST STE 102
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-4174
Practice Address - Country:US
Practice Address - Phone:781-757-1114
Practice Address - Fax:781-757-3833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy