Healthcare Provider Details

I. General information

NPI: 1689863912
Provider Name (Legal Business Name): ORTHOPEDIC & SPORTS PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2007
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 PLYMOUTH ST
EAST BRIDGEWATER MA
02333-2054
US

IV. Provider business mailing address

650 PLYMOUTH ST STE 3
EAST BRIDGEWATER MA
02333-2054
US

V. Phone/Fax

Practice location:
  • Phone: 508-378-4035
  • Fax: 508-378-0542
Mailing address:
  • Phone: 508-378-4035
  • Fax: 508-378-0542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number44
License Number StateMA

VIII. Authorized Official

Name: MS. MAUREEN O HARRINGTON
Title or Position: ADM. ASST
Credential:
Phone: 508-584-0800