Healthcare Provider Details

I. General information

NPI: 1760515043
Provider Name (Legal Business Name): CHEST PHYSICAL THERAPY SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 TYNGSBORO RD UNIT 4C
NORTH CHELMSFORD MA
01863
US

IV. Provider business mailing address

15 TYNGSBORO ROAD UNIT 4C
NORTH CHELMSFORD MA
01863
US

V. Phone/Fax

Practice location:
  • Phone: 978-251-3144
  • Fax: 978-251-1155
Mailing address:
  • Phone: 978-251-3144
  • Fax: 978-251-1155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number105
License Number StateMA

VIII. Authorized Official

Name: ANN MARIE NADEAU
Title or Position: ADMINISTRATOR
Credential: PT
Phone: 978-251-3144