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SPORT LIFE PHYSICAL THERAPY LLC
NPI 1104427665
Physical Therapist - Orthopedic in Holliston, MA

Active since November 02, 2020
21 VINE ST, HOLLISTON, MA 01746(508) 577-2279 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sport Life Physical Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPORT LIFE PHYSICAL THERAPY LLC (NPI 1104427665) is a healthcare organization registered as an orthopedic in Holliston, Massachusetts and active in the NPI registry since November 2020. The organization lists Nathaniel Mcmahan, Owner, as its authorized official.

NPPES Registry Identity

NPI1104427665
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameSPORT LIFE PHYSICAL THERAPY LLC
Location Address21 VINE STHolliston, MA 01746-2311
Mailing Address21 Vine StHolliston, MA 01746-2311 · (508) 577-2279
Phone(508) 577-2279
Organization SubpartNo
Authorized OfficialNathaniel McmahanOwner · (508) 577-2279
Enumeration DateNovember 2, 2020
NPPES CertifiedNovember 2, 2020
✔ NPI 1104427665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
21 VINE ST, Holliston, MA 01746
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sport Life Physical Therapy LLC's NPI number?

The NPI number for Sport Life Physical Therapy LLC is 1104427665. It was assigned to this organization in the NPPES registry on November 2, 2020.

Where is Sport Life Physical Therapy LLC located?

Sport Life Physical Therapy LLC is located at 21 Vine St, Holliston, MA 01746. The listed phone number is (508) 577-2279.

What is Sport Life Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Sport Life Physical Therapy LLC was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.