ONE80 PHYSICAL THERAPY, LLC.


Address: 226 Andover St, Wilmington, MA 01887-1022
Phone: 9786581999

ONE80 PHYSICAL THERAPY, LLC. (NPI# 1114016847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114016847
Entity Type Organization
Organization Name ONE80 PHYSICAL THERAPY, LLC.
Practice Address 226 Andover St
Wilmington
MA 01887-1022
Practice Telephone 9786581999
Practice Fax Number 9786589994
Mailing Telephone 9786581999
Mailing Fax Number 9786589994
Enumeration Date 2006-10-12
Last Update Date 2020-08-22
Authorized Official Name MR. WILLIAM DOOLEY (DIRECTOR OF PHYSICAL THERAPY)
Authorized Official Telephone 9786581999
Authorized Official Credential PT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
12144 MA Ambulatory Health Care Facilities

Office Location

Street Address 226 ANDOVER ST
City WILMINGTON
State MA
Zip Code 01887-1022

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1982894622 Angie Faith Brenner Social Worker 5 Middlesex Ave., Suite 11, Wilmington, MA 01887 2007-07-30
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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

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1174000210 Omega Project Pt Clinic/Center 1806 N Van Buren St Ste 100, Wilmington, DE 19802-3851 2018-07-22
1104324482 Iopt, LLC Clinic/Center 3973a Market St Bldg D, Wilmington, NC 28403-1403 2018-01-31
1285159541 James Lolli Jr. Clinic/Center 1401 Foulk Rd Ste 203, Wilmington, DE 19803-2764 2017-08-08
1902332927 Hartnett Physical Therapy Clinic/Center 800 Woodlawn Ave Ste B, Wilmington, DE 19805-2815 2017-05-11
1578920138 Connections Physical Therapy, LLC Clinic/Center 3600 S College Rd, Ste E #392, Wilmington, NC 28412-5240 2016-01-26
1255749438 Falcon Therapy and Fitness LLC Clinic/Center 4602 Big Rock Dr, Wilmington, DE 19802-1004 2014-07-31
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Competitor

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City WILMINGTON
Zip Code 01887

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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