RELIANT MEDICAL GROUP (NPI# 1134337116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134337116 |
Entity Type | Organization |
Organization Name | RELIANT MEDICAL GROUP |
Practice Address |
135 Gold Star Blvd Worcester MA 01606-2738 |
Mailing Address |
100 Front St, Wot 12th Fl Attn: Medical Staff Services Worcester MA 01608 |
Practice Telephone | 5088520600 |
Mailing Telephone | 5083685424 |
Mailing Fax Number | 5083685530 |
Enumeration Date | 2007-05-21 |
Last Update Date | 2012-01-30 |
Authorized Official Name | DR. ROBIN RICHMAN (CHIEF MEDICAL OFFICER) |
Authorized Official Telephone | 5088520600 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982957031 | Reliant Medical Group | Optometrist | 123 Summer St Ste 155, Worcester, MA 01608-1216 | 2012-10-25 |
1871846428 | Reliant Medical Group | Optometrist | 64 Boyden Rd, Holden, MA 01520-2570 | 2012-10-19 |
1609129253 | Reliant Medical Group | Optometrist | 344 Thompson Rd, Webster, MA 01570-1509 | 2012-10-19 |
1326391962 | Reliant Medical Group | Optometrist | 370 Lunenburg St, Fitchburg, MA 01420-4541 | 2012-10-19 |
1700139334 | Reliant Medical Group | Optometrist | 110 Charlton Rd, Sturbridge, MA 01566-1538 | 2012-10-19 |
1114270857 | Reliant Medical Group | Optometrist | 900 Union St, Westborough, MA 01581-5408 | 2012-10-18 |
1831442581 | Reliant Medical Group | Optometrist | 115 Cedar St, North Bldg, Milford, MA 01757-5118 | 2012-10-18 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | RELIANT MEDICAL GROUP, INC. | 5 Neponset St, Worcester, MA 01606-2714 |
Massachusetts Corporations | RELIANT MEDICAL GROUP, INC. | 100 Front St., Worcester, MA 01608 |
Street Address |
135 GOLD STAR BLVD |
City | WORCESTER |
State | MA |
Zip Code | 01606-2738 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578554044 | Christine L Petersen | Radiology | 135 Gold Star Blvd, Worcester, MA 01606-2738 | 2005-11-02 |
1659875169 | Melissa V. Kusy | Physical Therapist | 135 Gold Star Blvd, Worcester, MA 01606-2738 | 2018-03-20 |
1649710518 | Jennifer A. Foley | Occupational Therapist | 135 Gold Star Blvd, Worcester, MA 01606-2738 | 2017-02-27 |
1033567094 | Briannah M. Mosher | Physical Therapist | 135 Gold Star Blvd, Worcester, MA 01606-2738 | 2016-06-01 |
1174863633 | Krista Abasciano | Developmental Therapist | 135 Gold Star Blvd, Worcester, MA 01606-2738 | 2013-02-20 |
1497083976 | Joanna M Donato | Physical Therapist | 135 Gold Star Blvd, Worcester, MA 01606-2738 | 2009-11-23 |
1114166147 | Randi Lynn Stewart | Speech-Language Pathologist | 135 Gold Star Blvd, Worcester, MA 01606-2738 | 2009-02-15 |
1871730150 | David Pace | Radiology | 135 Gold Star Blvd, Department of Radiology, Worcester, MA 01606-2738 | 2009-01-08 |
1467697490 | Jesse J. Little | Physical Therapist | 135 Gold Star Blvd, Worcester, MA 01606-2738 | 2008-12-04 |
1063673028 | Kathryn W Deliso | Optometrist | 135 Gold Star Blvd, Worcester, MA 01606-2738 | 2008-06-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548742612 | Aishea Irine Henry | Counselor | 29 E. Mountian St., Worccester, MA 01606 | 2018-09-05 |
1932689874 | Donna Kesler Pearce | Social Worker | Department of Children and Families, 151 West Boylston Drive, Worcester, MA 01606 | 2018-08-20 |
1689169914 | Ashley Kalel | Social Worker | 151 W Boylston Dr, Worcester, MA 01606 | 2018-06-28 |
1588189039 | Michael Joseph Peters Sr. | Counselor | 56 Malden St, Worcester, MA 01606 | 2017-08-06 |
1811418528 | Shan Rai | Social Worker | 29 East Mountain Street, Worcester, MA 01606 | 2017-07-03 |
1639608045 | Kim Marie Ceccarini | Case Manager/Care Coordinator | 11 Delaval Rd, Worcester, MA 01606 | 2017-06-08 |
1669806139 | Lauren Giuliano | Counselor | 392 Burncoat St, Worcester, MA 01606 | 2013-09-02 |
1508132911 | Joshua D Zierler-broudo | Social Worker | 29 East Mountain St, Worcester, MA 01606 | 2012-03-29 |
1609096098 | Alternatives Unlimited Inc | Day Training, Developmentally Disabled Services | 367 Burncoat Street, Worcester, MA 01606 | 2007-04-26 |
1407908213 | Class One Orthodontic Asso LLC | Dentist | 365 Burncoat St, Worcester, MA 01606 | 2007-01-18 |
Find all providers in zip 01606 |
Taxonomy Code | 225400000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Practitioner |
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154861102 | Kelsey Bednarz | Rehabilitation Practitioner | 93 Dudley Rd, Templeton, MA 01468-1208 | 2017-02-24 |
1831550250 | Physical Therapy U, Inc. | Rehabilitation Practitioner | 75a Scotland Blvd, Bridgewater, MA 02324-2302 | 2016-03-12 |
1831538461 | Rachael Lauren Levy | Rehabilitation Practitioner | 869 Main St Ste 4a, Walpole, MA 02081-2985 | 2013-06-17 |
1215116355 | Michelle J. Alpert, Md PC | Rehabilitation Practitioner | 24 Hamlin Rd, Newton, MA 02459-1002 | 2007-10-25 |
1336366988 | Priscilla Elizabeth Perruzzi | Rehabilitation Practitioner | 1153 Centre Street Mailbox 103, Bwh Pulmonary Rehab, Boston, MA 02130 | 2007-04-18 |
1851315790 | Harold F Lynch | Rehabilitation Practitioner | 206 Meetinghouse Way, Edgartown, MA 02539-7614 | 2006-07-26 |
1366405656 | Kara L Witt | Rehabilitation Practitioner | 7 Willow St, Franklin, MA 02038-2025 | 2006-04-08 |
1952833949 | Natalya Kaletina | Rehabilitation Practitioner | 175 Franklin St, North Adams, MA 01247-2712 | 2017-03-30 |
1831586205 | Adaptive Technology, Inc. | Rehabilitation Practitioner | 206 Meetinghouse Way, Edgartown, MA 02539-7614 | 2015-04-23 |
1114310422 | Maribeth Selle | Rehabilitation Practitioner | 205 Linden Ponds Way, Hobart Grove, Hingham, MA 02043-8714 | 2015-03-11 |
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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.