MEDICARE: SECOND WIND PHYSICAL THERAPY & SPORTS MEDICINE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	15139	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013106483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SECOND WIND PHYSICAL THERAPY & SPORTS MEDICINE INC.

Provider Business Mailing Address
First Line	:	115 PORTER ST
Second Line	:
City	:	EAST BOSTON
State	:	MA
Zip	:	02128-2110
Country	:	US
Telephone Number	:	617-569-2929
Fax Number	:	617-569-2925

Provider Business Practice Location Address
First Line	:	115 PORTER ST
Second Line	:
City	:	EAST BOSTON
State	:	MA
Zip	:	02128-2110
Country	:	US
Telephone Number	:	617-569-2929
Fax Number	:	617-569-2925

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRENDON LACHANCE
Credential	:	MS, PT
Telephone Number	:	617-429-2042

Provider Enumeration Date	:	10/22/2007
Last Update Date	:	09/08/2023

Similar Medicare Providers

1801823620 — DR. JASON P BLOCK MD
Practice Location Address:

75 FRANCIS STREET , BRIGHAM INTERNAL MEDICARE ASSOCIATES
BOSTON, MA
02115

Practice Phone: 617-732-6049
Practice Fax: 617-264-5202

1275535288 — MR. BRENDON DANIEL LACHANCE MS, PT
Practice Location Address:

115 PORTER ST
EAST BOSTON, MA
02128-2110

Practice Phone: 617-569-2929
Practice Fax: 617-569-2925

1528103900 — SOUTH SHORE EYE CARE, P.C.
Practice Location Address:

2110 DORCHESTER AVE , SUITE 100
BOSTON, MA
02124-5628

Practice Phone: 617-298-5300
Practice Fax: 617-296-3028

1437531332 — EMY CHEN MD
Practice Location Address:

2110 DORCHESTER AVE
BOSTON, MA
02124-5628

Practice Phone: 617-506-4970
Practice Fax: 617-474-3820

1770098675 — JAMILATU BARBRA ABUBAKAR
Practice Location Address:

12 NORWELL ST APT 3
BOSTON, MA
02121-2110

Practice Phone: 857-312-8603
Practice Fax:

1457933574 — SLEEP BETTER CLINIC INC
Practice Location Address:

2110 DORCHESTER AVE STE 205
BOSTON, MA
02124-5699

Practice Phone: 617-901-5547
Practice Fax: 617-500-9711

Directions to “SECOND WIND PHYSICAL THERAPY & SPORTS MEDICINE INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.