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Contact Information

BAY STATE PHYSICAL THERAPY OF RANDOLPH INC
362 BELMONT ST
BROCKTON, MA02301-4950
 Phone: 508-584-7711
 Fax: 508-584-7744
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Chiropractor

111N00000X 35 Chiropractic
 

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 1740390459
LBN Legal business name BAY STATE PHYSICAL THERAPY OF RANDOLPH INC
Authorized official STEVEN WINDWER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 01/25/2021 - About 5 years ago
Identifiers
MA Medicaid 9705601
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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