MARIBETH CRUPI PHYSICAL THERPAY LLC


Address: 10 Elizabeth Drive, Wilmington, MA 01887
Phone: 9782030665

MARIBETH CRUPI PHYSICAL THERPAY LLC (NPI# 1831430842) 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) 1831430842
Entity Type Organization
Organization Name MARIBETH CRUPI PHYSICAL THERPAY LLC
Practice Address 10 Elizabeth Drive
Wilmington
MA 01887
Practice Telephone 9782030665
Practice Fax Number 9782030667
Mailing Telephone 9782030665
Mailing Fax Number 9782030667
Enumeration Date 2013-03-15
Last Update Date 2014-01-21
Authorized Official Name MRS. MARIBETH CRUPI (PRACTICE OWNER)
Authorized Official Telephone 9782030665
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
5468 MA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MA BLUE CROSS BLUE SHIELD 70010000Y66159 01
MA MEDICARE PTAN 0018989 01
MA HARVARD PILGRIM HEALTHCARE AA282661 01

Office Location

Street Address 10 ELIZABETH DRIVE
City WILMINGTON
State MA
Zip Code 01887

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1497027643 Kristie Demirev Social Worker 113 West St, Wilmington, MA 01887 2012-02-03
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1982894622 Angie Faith Brenner Social Worker 5 Middlesex Ave., Suite 11, Wilmington, MA 01887 2007-07-30
1093847345 Deborah Ann Edgerly Dentist 388 Rear Main Street, Wilmington, MA 01887 2007-03-12
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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...

Providers in the same taxonomy and city

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1568925220 Occupational Health Centers of Ohio, P.a., Co. Clinic/Center 2627 S South St, Wilmington, OH 45177-2926 2019-04-10
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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