MEDICARE: CONCIERGE PHYSICAL THERAPY, 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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1164935862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONCIERGE PHYSICAL THERAPY, INC.

Provider Business Mailing Address
First Line	:	211 WORCESTER PROVIDENCE TPKE
Second Line	:
City	:	SUTTON
State	:	MA
Zip	:	01590-2905
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 WORCESTER PROVIDENCE TPKE
Second Line	:
City	:	SUTTON
State	:	MA
Zip	:	01590-2905
Country	:	US
Telephone Number	:	508-861-1010
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SEAN LORDAN
Credential	:
Telephone Number	:	508-861-1010

Provider Enumeration Date	:	11/16/2017
Last Update Date	:	10/31/2024

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Directions to “CONCIERGE PHYSICAL THERAPY, INC. ” Practice Location

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