PHILIP GAUTHIER (NPI# 1164891107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164891107 |
| Entity Type | Individual |
| Full Name | PHILIP GAUTHIER |
| Credential | DPT |
| Practice Address |
348 N Pearl St Brockton MA 02301-1197 |
| Practice Telephone | 5088970056 |
| Practice Fax Number | 5085845630 |
| Mailing Telephone | 5088970056 |
| Mailing Fax Number | 5085845630 |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
21809 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
348 N PEARL ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-1197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336203850 | Arch Orthodontics | Dentist | 348 N Pearl St, Suite 3, Brockton, MA 02301-1197 | 2006-12-20 |
| 1164931531 | Gregory Ryan | Physical Therapist | 348 N Pearl St, Brockton, MA 02301-1197 | 2017-09-28 |
| 1245771187 | Unlimited Behavioral Health Services of Massachusetts, LLC | Community/Behavioral Health | 348 N Pearl St, Suite 8, Brockton, MA 02301-1197 | 2017-03-11 |
| 1477092997 | Harris Dental Associates Hda PC | Dentist | 348 N Pearl St, Suite 1, Brockton, MA 02301-1197 | 2017-02-16 |
| 1457711467 | Barbara King | Counselor | 348 N Pearl St, Brockton, MA 02301-1197 | 2016-03-03 |
| 1457749699 | M & Co LLC | Dentist | 348 N Pearl St, Brockton, MA 02301-1197 | 2014-12-22 |
| 1306197298 | Emily Corey Eynatian | Physician Assistant | 348 N Pearl St, Suite 8, Brockton, MA 02301-1197 | 2012-10-02 |
| 1316179351 | Arch Orthodontics, PC | Dentist | 348 N Pearl St, Suite 3, Brockton, MA 02301-1197 | 2009-08-10 |
| 1093988073 | Menachem D Roth | Dentist | 348 N Pearl St, Suite 3, Brockton, MA 02301-1197 | 2008-04-10 |
| 1881875870 | Healing Touch Massage Clinic | Clinic/Center | 348 N Pearl St, Brockton, MA 02301-1197 | 2007-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213409 | Kathryn A Piersiak | Physical Therapist | 5 N Meadows Rd Ste 6, Medfield, MA 02052-2317 | 2020-10-19 |
| 1134758287 | Joshua Westin Leigh | Physical Therapist | 4 Spring Ln, Rockport, MA 01966-2111 | 2020-04-01 |
| 1366078479 | Lisa Marie Giallonardo | Physical Therapist | 4 Wethersfield Rd # 8, Natick, MA 01760-1770 | 2020-03-20 |
| 1487291928 | Michael Micco | Physical Therapist | 70 Day St Apt 2, Boston, MA 02130-1191 | 2019-12-03 |
| 1205341245 | Infinite Potential Physical Therapy and Wellness | Physical Therapist | 242 Libbey Industrial Pkwy, Weymouth, MA 02189-3109 | 2017-12-13 |
| 1598278962 | Michael White | Physical Therapist | 406r Washington St, Holliston, MA 01746-1342 | 2017-11-08 |
| 1386154482 | Robert Pano | Physical Therapist | 45 Putnam Hill Rd, Sutton, MA 01590-1722 | 2017-10-03 |
| 1366960981 | Michael Crowley | Physical Therapist | 21 North Main Street, Attleboro, MA 02703 | 2017-09-04 |
| 1942659198 | Sports Medicine North | Physical Therapist | 2 First Ave Suite 211, Peabody, MA 01960-4959 | 2016-06-08 |
| 1376991505 | Sports Medicine North Orthopaedic Surgery, Inc | Physical Therapist | 112 Parker St, Newburyport, MA 01950-4008 | 2016-05-27 |
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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.