Healthcare Provider Details
I. General information
NPI: 1275075996
Provider Name (Legal Business Name): CAREWELL PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/11/2016
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
401 ANDOVER ST STE 101
NORTH ANDOVER MA
01845-5076
US
IV. Provider business mailing address
401 ANDOVER ST STE 101
NORTH ANDOVER MA
01845-5076
US
V. Phone/Fax
- Phone: 978-746-5295
- Fax: 978-824-9335
- Phone: 978-746-5295
- Fax: 978-824-9335
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DIPTI
SHAW
Title or Position: OWNER
Credential: PT
Phone: 978-746-5295