Healthcare Provider Details
I. General information
NPI: 1225632847
Provider Name (Legal Business Name): CHOICE PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/24/2020
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
133 W MAIN ST
SPENCER MA
01562-2691
US
IV. Provider business mailing address
760 PODUNK RD
EAST BROOKFIELD MA
01515-2106
US
V. Phone/Fax
- Phone: 774-449-8058
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
GRANT
SCOTT
PATTEE
Title or Position: PHYSICAL THERAPIST
Credential: DPT
Phone: 774-449-8058