NPI Code Details Logo

NPI 1104060805

NPI 1104060805 : PINNACLE REHABILITATION NETWORK LLC : PLYMOUTH, MA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1104060805
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PINNACLE REHABILITATION NETWORK LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/24/2009
-----------------------------------------------------
    Last Update Date     |    11/06/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    45 RESNIK RD STE 104A 
-----------------------------------------------------
    City                 |    PLYMOUTH
-----------------------------------------------------
    State                |    MA
-----------------------------------------------------
    Zip                  |    02360-4843
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    508-747-6600
-----------------------------------------------------
    Fax                  |    508-747-6606
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    73 NEWTON RD UNIT 101 
-----------------------------------------------------
    City                 |    PLAISTOW
-----------------------------------------------------
    State                |    NH
-----------------------------------------------------
    Zip                  |    03865-2440
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    978-388-7272
-----------------------------------------------------
    Fax                  |    978-388-7373
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    VP OF OPERATIONS
-----------------------------------------------------
    Name                 |     AMANDA  TAYLOR 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    978-388-7272
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.