FULL SPECTRUM PHYSICAL THERAPY AND PERFORMANCE, LLC (NPI# 1689297525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689297525 |
| Entity Type | Organization |
| Organization Name | FULL SPECTRUM PHYSICAL THERAPY AND PERFORMANCE, LLC |
| Practice Address |
17 Cannongate Rd Apt 83 Tyngsboro MA 01879-1413 |
| Practice Telephone | 9783144538 |
| Mailing Telephone | 9783144538 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |
| Authorized Official Name | JOSEPH CAVALLARO (OWNER/FOUNDER) |
| Authorized Official Telephone | 9783144538 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
17 CANNONGATE RD APT 83 |
| City | TYNGSBORO |
| State | MA |
| Zip Code | 01879-1413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083029052 | Paul David Harrison | Social Worker | 269 Middlesex Road, Greenbridge Counseling & Wellness, LLC, Tyngsboro, MA 01879 | 2014-06-27 |
| 1285888156 | Sudbury Vision Associates,inc. | Optometrist | 440 Middlesex Road, Tyngsboro, MA 01879 | 2008-11-05 |
| 1760679013 | Town of Tyngsborough | Public Health or Welfare | 25 Bryants Lane, Tyngsborough, MA 01879 | 2007-10-01 |
| 1023149564 | Greater Lowell Technical High School | Local Education Agency (LEA) | 250 Pawtucket Blvd, Tyngsboro, MA 01879 | 2007-03-08 |
| 1821159344 | Kathryn Anne Chapman | Social Worker | 6 Pondview Place, Tyngsboro, MA 01879 | 2006-12-12 |
| 1104035401 | Clearview Center of New England, Inc. | Social Worker | 6 Pondview Place, Tyngsboro, MA 01879 | 2007-05-22 |
| 1922144658 | Debra Lee Lastoff | Counselor | 6 Pondview Place, Tyngsboro, MA 01879 | 2007-01-29 |
| 1194755496 | Trudy M Lefebvre | Social Worker | 200 Springs Rd, Enrm Va Hospital Social Work Services, Bedford, MA 01879 | 2006-07-03 |
| 1083211122 | Valerie Amanda Raymond | Behavior Technician | 62 Lawndale Rd, Tyngsborough, MA 01879-0187 | 2020-10-01 |
| 1952573404 | John Richard | Pharmacist | 40 Farwell Rd, Tyngsboro, MA 01879-1008 | 2008-03-25 |
| Find all providers in zip 01879 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518448 | Shira Lauren Dragun | Clinic/Center | 63 1/2 Jefferson Ave, Salem, MA 01970-2975 | 2020-11-03 |
| 1518564566 | Ann Pappas Physical Therapy | Clinic/Center | 470 Washington St Ste 31, Norwood, MA 02062-2343 | 2020-10-02 |
| 1538786272 | Neurologic Optimal Wellness Physical Therapy LLC | Clinic/Center | 180 King St, Springfield, MA 01109-4316 | 2020-06-29 |
| 1992328421 | Adam Auto Accident Physio Doctor,inc | Clinic/Center | 1011 Beacon St Ste 1, Brookline, MA 02446-5696 | 2020-05-19 |
| 1952938839 | Jessica Moy Wellness LLC | Clinic/Center | 255 Massachusetts Ave Apt 204, Boston, MA 02115-3511 | 2020-03-23 |
| 1598390940 | The Method Performance and Physical Therapy LLC | Clinic/Center | 378 North St Apt 2, Boston, MA 02113-2143 | 2020-03-05 |
| 1104458785 | Olender Physical Therapy, LLC | Clinic/Center | 316 Washington St Ste 1, Wellesley, MA 02481-4959 | 2020-02-11 |
| 1851930028 | Core Physical Therapy & Performance, LLC | Clinic/Center | 11 Randolph Rd, Randolph, MA 02368-4321 | 2020-01-05 |
| 1316585482 | Healthworks Med Group of Massachusetts P C | Clinic/Center | 157 Berkeley St, Boston, MA 02116-5108 | 2019-12-19 |
| 1679123905 | Jillian C, Dpt | Clinic/Center | 663 Boston St Apt 6, Lynn, MA 01905-1970 | 2019-09-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FULL SPECTRUM PHYSICAL THERAPY AND PERFORMANCE, LLC.
| 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.