McGovern Physical Therapy Associates LLC
Clinic/Center, Physical Therapy in Malden, MA. Organization (NPI-2).
NPI number1043200330
StatusActive
Last updated in NPPESDec 11, 2013
Details
- NPI
- 1043200330
- Entity type
- Organization (NPI-2)
- Legal business name
- McGovern Physical Therapy Associates LLC
- Organization subpart
- No
- Enumeration date
- Oct 26, 2005
- Last updated
- Dec 11, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 9964 | MA | Yes |
Practice location
350 Main StSuite 205
Malden, MA 02148-5089
Phone 781-321-2727 · Fax 781-321-4995
Mailing address
350 Main StSuite 205
Malden, MA 02148-5089
Phone 781-321-2727 · Fax 781-321-4995
Authorized official
Steven N Davidson
Ceo
6163565000
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