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NPI Code Detail

MEDICARE: REBUILD PT & PERFORMANCE

MEDICARE: REBUILD PT & PERFORMANCE
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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1528861671
Entity Type Code : Organization
Provider Name (Legal Business Name) : REBUILD PT & PERFORMANCE
Provider Business Mailing Address
First Line : 409 BELGRADE AVE # 1
Second Line :
City : WEST ROXBURY
State : MA
Zip : 02132-1548
Country : US
Telephone Number : 774-571-5392
Fax Number :
Provider Business Practice Location Address
First Line : 207 CAMBRIDGE ST # C
Second Line :
City : BURLINGTON
State : MA
Zip : 01803-2538
Country : US
Telephone Number : 508-251-9098
Fax Number :
Authorized Official
Title or Position : PHYSICAL THERAPIST
Name : TAYLOR DOWNIE
Credential :
Telephone Number : 508-251-9098
Provider Enumeration Date : 03/31/2025
Last Update Date : 03/31/2025

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Directions to “REBUILD PT & PERFORMANCE ” Practice Location

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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.