Healthcare Provider Details

I. General information

NPI: 1417010174
Provider Name (Legal Business Name): PLATINUM PHYSICAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2006
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 W UNION ST
ASHLAND MA
01721-1464
US

IV. Provider business mailing address

15 W UNION ST
ASHLAND MA
01721-1499
US

V. Phone/Fax

Practice location:
  • Phone: 508-881-6750
  • Fax: 508-881-6760
Mailing address:
  • Phone: 508-881-6750
  • Fax: 508-881-6760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. JAMES L. CASADY
Title or Position: PRESIDENT
Credential: MPT
Phone: 508-881-6750