MEDICARE: CONNECTIONS 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	225100000X	Physical Therapist

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	:	1699752931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONNECTIONS PHYSICAL THERAPY INC

Provider Business Mailing Address
First Line	:	110 CEDAR ST STE 100
Second Line	:
City	:	WELLESLEY
State	:	MA
Zip	:	02481-3527
Country	:	US
Telephone Number	:	781-237-1769
Fax Number	:	781-239-9965

Provider Business Practice Location Address
First Line	:	110 CEDAR ST STE 100
Second Line	:
City	:	WELLESLEY
State	:	MA
Zip	:	02481-3527
Country	:	US
Telephone Number	:	617-921-4336
Fax Number	:	781-239-9965

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. PAUL E CANTOR
Credential	:	M.S.
Telephone Number	:	617-921-4336

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	04/02/2021

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