BROCKTON SPINE AND REHAB (NPI# 1134167521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134167521 |
| Entity Type | Organization |
| Organization Name | BROCKTON SPINE AND REHAB |
| Practice Address |
80-86 Main Street Taunton MA 02780-1822 |
| Mailing Address |
101 Brick Kiln Rd Bldg 1, Unit 5 Chelmsford MA 01824-3282 |
| Practice Telephone | 5088281400 |
| Mailing Telephone | 9782500230 |
| Mailing Fax Number | 9782508424 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-12-12 |
| Authorized Official Name | DR. FREDERICK T GIAMPA (OWNER) |
| Authorized Official Telephone | 9782500230 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS | Y39606 | 01 |
| Street Address |
80-86 MAIN STREET |
| City | TAUNTON |
| State | MA |
| Zip Code | 02780-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235766338 | Peter A. Bertelli | Registered Nurse | Attn: Peter A. Bertelli, Rn, 70 Main Street, Taunton, MA 02780 | 2020-03-26 |
| 1790321388 | Daniel Bettencourt | Counselor | 1 Washington St. Taunton, Ma 02780, Taunton, MA 02780 | 2019-11-19 |
| 1629620067 | Lauren Mulkern | Behavior Technician | 36 Saints Way, Taunton, MA 02780 | 2019-07-16 |
| 1154891737 | Sara Keller | Physical Therapist | 68 Dean Street, Taunton, MA 02780 | 2018-11-27 |
| 1366931594 | Alicia Marie Donahue | Optometrist | 2005 Bay Street Suite 206, Taunton, MA 02780 | 2018-05-03 |
| 1922522879 | Kathryn Louise Drapeau | Registered Nurse | 17 Patriot Road, Taunton, MA 02780 | 2017-08-02 |
| 1174057913 | Marie Lorquet | Registered Nurse | 111 Bay St, Taunton, MA 02780 | 2017-04-19 |
| 1912351693 | Samantha Hollis | Social Worker | 126 Dighton Avenue, Taunton, MA 02780 | 2016-04-19 |
| 1689030843 | Alexandra Rhae Lynn | Counselor | 1 Washington St., Taunton, MA 02780 | 2016-01-04 |
| 1386058261 | Carmen Iris Rivera | Registered Nurse | 111 Worcester St, Taunton, MA 02780 | 2014-06-18 |
| Find all providers in zip 02780 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336419001 | Parrish A. Rice, D.c. | Chiropractor | 645 County St Ste 2, Taunton, MA 02780-3623 | 2012-01-11 |
| 1407035876 | Greig Andrews | Chiropractor | 68 Winthrop St, Taunton, MA 02780-4242 | 2007-11-01 |
| 1649464793 | Eaton Chiropractic Inc | Chiropractor | 109 Dean Street, Taunton, MA 02780-2717 | 2007-08-31 |
| 1376698761 | Shawn F Eaton | Chiropractor | 109 Dean St, Taunton, MA 02780-2717 | 2007-01-24 |
| 1801956339 | Linda Teresa Cancellieri-deturck | Chiropractor | 244 Broadway, Taunton, MA 02780-1530 | 2006-12-12 |
| 1902824584 | Jonathan Sisskind | Chiropractor | 9 Tremont St, Taunton, MA 02780-3054 | 2006-07-18 |
| 1023064631 | Dean Joseph Greber | Chiropractor | 91 Washington St Unit 203, Taunton, MA 02780-7404 | 2006-05-25 |
| 1053962555 | Peter Long | Chiropractor | 63 Winthrop St Ste C1-c2, Taunton, MA 02780-6218 | 2019-09-25 |
| 1194288977 | Greber Chiropractic, LLC | Chiropractor | 91 Washington St Unit 203, Taunton, MA 02780-7404 | 2019-04-09 |
| 1558804039 | Kelsey Heston | Chiropractor | 63 Winthrop St, Taunton, MA 02780-6218 | 2016-12-01 |
| Find all providers in TAUNTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.