Healthcare Provider Details

I. General information

NPI: 1104888353
Provider Name (Legal Business Name): PHYSICAL THERAPY PARTNERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 SPRINGFIELD RD
WESTFIELD MA
01085-1855
US

IV. Provider business mailing address

65 SPRINGFIELD RD
WESTFIELD MA
01085-1855
US

V. Phone/Fax

Practice location:
  • Phone: 413-568-1388
  • Fax: 413-568-1389
Mailing address:
  • Phone: 413-568-1388
  • Fax: 413-568-1389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JOHN E JURY
Title or Position: CEO
Credential: PT
Phone: 413-568-1388