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Long Pond Physical Therapy, Inc

NPI 1760695324ActiveOrganization· Physical Therapist· Plymouth, MA

Physical Therapist in Plymouth, Massachusetts, registered in NPPES in May 2007. The authorized official on file is Jen Tirrell, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1760695324
StatusActive
Entity typeOrganization
NPI issuedMay 8, 2007
Last updated in NPPESApr 14, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X162MA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (MA)

Medicare sources and data years

Other physical therapists in Plymouth

All 51 physical therapists in Plymouth · All physical therapists in Massachusetts