MEDICARE: SCHAEFFER PHYSICAL THERAPY AND SPORTS MEDICINE ASSOCIATES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	4729	MA

General Provider Information

NPI Number	:	1831306281
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHAEFFER PHYSICAL THERAPY AND SPORTS MEDICINE ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	PO BOX 88
Second Line	:
City	:	MEDFIELD
State	:	MA
Zip	:	02052-0088
Country	:	US
Telephone Number	:	508-376-2100
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 PRISCILLA CIR
Second Line	:
City	:	WELLESLEY HILLS
State	:	MA
Zip	:	02481-5311
Country	:	US
Telephone Number	:	508-376-2100
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. EDWARD GEORGE SCHAEFFER
Credential	:
Telephone Number	:	508-528-3240

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	04/25/2022

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