Healthcare Provider Details

I. General information

NPI: 1861305732
Provider Name (Legal Business Name): BIRTH WELL PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 FRANCIS AVE PMB # 163
CAMBRIDGE MA
02138
US

IV. Provider business mailing address

519 SOMERVILLE AVE STE 2 PMB # 163
SOMERVILLE MA
02143
US

V. Phone/Fax

Practice location:
  • Phone: 617-301-3824
  • Fax:
Mailing address:
  • Phone: 617-301-3824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SARA HUNTER
Title or Position: PHYSICAL THERAPIST
Credential: PT DPT
Phone: 617-301-3824