Provider Demographics
NPI:1235975434
Name:WEBB SPORTS PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:WEBB SPORTS PHYSICAL THERAPY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:HILL
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, SCS
Authorized Official - Phone:781-205-9337
Mailing Address - Street 1:10 PATRIOT PKWY APT 129
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-0013
Mailing Address - Country:US
Mailing Address - Phone:508-330-1260
Mailing Address - Fax:
Practice Address - Street 1:25 POND ST UNIT 3
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-1607
Practice Address - Country:US
Practice Address - Phone:508-330-1260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-08
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy