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Contact Information

BAY STATE PHYSICAL THERAPY OF RANDOLPH INC
703 GRANITE ST STE 300
BRAINTREE, MA02184-5350
 Phone: 781-961-3370
 Fax: 781-961-1291
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BAY STATE PHYSICAL THERAPY OF RANDOLPH INC

NPI Number 1164474334
LBN Legal business name BAY STATE PHYSICAL THERAPY OF RANDOLPH INC
Authorized official STEVEN WINDWER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/16/2006
Last updated 03/05/2026 - About 3 months ago
Identifiers
MA Medicaid 9705601
MA Other 0009411 ALLWAYS HEALTHCARE (FORMERLY NHP)
MA Other Y61008 BLUE CROSS BLUE SHIELD (MA)
MA Other 626127 HARVARD PILGRIM
MA Other PT0101 MEDICARE PIN
MA Other 684486 OPTUM/UHC
MA Other 689511 TUFTS HEALTH PLAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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