Provider Demographics
NPI:1487604682
Name:DEER CROSSING PHYSICAL THERAPY, INC
Entity type:Organization
Organization Name:DEER CROSSING PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:R
Authorized Official - Last Name:SINGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-385-9999
Mailing Address - Street 1:632 MAIN ST
Mailing Address - Street 2:RTE 6A
Mailing Address - City:DENNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02638-1906
Mailing Address - Country:US
Mailing Address - Phone:508-385-9999
Mailing Address - Fax:508-385-4590
Practice Address - Street 1:193 WHITES PATH
Practice Address - Street 2:
Practice Address - City:S YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02664-1217
Practice Address - Country:US
Practice Address - Phone:508-398-6477
Practice Address - Fax:508-398-6477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAA32600OtherHPHC
MAY61404OtherBCBS MA GROUP NO
MAPT0264Medicare ID - Type UnspecifiedGROUP NO