| Second Wind Physical Therapy & Sports Medicine Inc. | |
|
115 Porter St, East Boston, MA 02128-2110 | |
| (617) 569-2929 | |
| (617) 569-2925 |
| Full Name | Second Wind Physical Therapy & Sports Medicine Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 115 Porter St, East Boston, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013106483 | NPI | - | NPPES |
| 0330299 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 15139 (Massachusetts) | Primary |
| Provider Name | Brendon Lachance |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275535288 PECOS PAC ID: 3274590765 Enrollment ID: I20041216000278 |
| Mailing Address | Practice Location Address |
|---|---|
| Second Wind Physical Therapy & Sports Medicine Inc. 115 Porter St, East Boston, MA 02128-2110 Ph: (617) 569-2929 | Second Wind Physical Therapy & Sports Medicine Inc. 115 Porter St, East Boston, MA 02128-2110 Ph: (617) 569-2929 |
Mr. Brendon Daniel Lachance, MS, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8 Chelsea St, East Boston, MA 02128 Phone: 617-561-4777 Fax: 617-561-4924 | |
Alison Carr, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Orient Ave, East Boston, MA 02128 Phone: 617-569-2100 | |
Stevan Simon, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 50 Meridian St, Suite 2, East Boston, MA 02128 Phone: 617-561-7246 Fax: 617-561-7247 | |
Tara Stanczyk-mccrystal, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 Condor St, East Boston, MA 02128 Phone: 617-569-6560 | |
Caitlin Deschenes, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1140 Saratoga St, East Boston, MA 02128 Phone: 617-418-5121 | |
East Boston Physical Therapy Center, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 999 Saratoga St Ste 3, East Boston, MA 02128 Phone: 617-418-5211 Fax: 617-418-5377 |