MEDWAY COUNTRY MANOR, INC. (NPI# 1245403963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245403963 |
| Entity Type | Organization |
| Organization Name | MEDWAY COUNTRY MANOR, INC. |
| Other Organization Name | GENERATIONS OUTPATIENT WELLNESS & REHAB - SPEECH THERAPY |
| Practice Address |
115 Holliston St Medway MA 02053-1954 |
| Practice Telephone | 5085339893 |
| Practice Fax Number | 5085337048 |
| Mailing Telephone | 5085339893 |
| Mailing Fax Number | 5085337048 |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2008-04-03 |
| Authorized Official Name | MR. JOHN PETERS III (TREASURER) |
| Authorized Official Telephone | 5085336634 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDWAY COUNTRY MANOR, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 0840 | MA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0910481 | 05 |
| Other Name | Type Code |
|---|---|
| Generations Outpatient Wellness & Rehab - Speech Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223074 | Medway Country Manor, Inc. | Physical Therapist | 115 Holliston St, Medway, MA 02053-1954 | 2005-05-24 |
| 1205854981 | Medway Country Manor, Inc. | Occupational Therapist | 115 Holliston St, Medway, MA 02053-1954 | 2006-07-18 |
| Street Address |
115 HOLLISTON ST |
| City | MEDWAY |
| State | MA |
| Zip Code | 02053-1954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223074 | Medway Country Manor, Inc. | Physical Therapist | 115 Holliston St, Medway, MA 02053-1954 | 2005-05-24 |
| 1215343801 | Jessica Nulty | Speech-Language Pathologist | 115 Holliston St, Medway, MA 02053-1954 | 2014-07-03 |
| 1689945313 | Susan Apicella | Speech-Language Pathologist | 115 Holliston St, Medway, MA 02053-1954 | 2012-01-26 |
| 1609049329 | Medway Country Manor Inc | Occupational Therapist | 115 Holliston St, Medway, MA 02053-1954 | 2008-04-03 |
| 1831303213 | Gail Bittig | Occupational Therapist | 115 Holliston St, Medway, MA 02053-1954 | 2007-05-09 |
| 1225242639 | Catherine Proctor | Physical Therapist | 115 Holliston St, Medway, MA 02053-1954 | 2007-05-09 |
| 1285848457 | Amy Varnerin | Speech-Language Pathologist | 115 Holliston St, Medway, MA 02053-1954 | 2007-05-09 |
| 1205854981 | Medway Country Manor, Inc. | Occupational Therapist | 115 Holliston St, Medway, MA 02053-1954 | 2006-07-18 |
| 1184686099 | Raphaela Rozanski | Dietitian, Registered | 115 Holliston St, Medway, MA 02053-1954 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950115 | Amy Fiorello | Physical Therapist | Generations Out Pt Rehab, 115 Holliston St, Medway, MA 02053 | 2019-03-06 |
| 1992223523 | Julie Kilroy | Behavioral Analyst | 3 Royal Heights Drive, Medway, MA 02053 | 2017-09-04 |
| 1417293879 | Kimberly Crocker Crowther | Nurse Practitioner | 67d Main St., Medway, MA 02053 | 2012-12-12 |
| 1811228331 | Carol Perlman, Ph.d., P.C. | Psychologist | 165 Main St., Suite 203, Medway, MA 02053 | 2010-01-22 |
| 1144470881 | Precision Medical Services | Non-emergency Medical Transport (VAN) | 82 Broad Street, Medway, MA 02053 | 2008-09-30 |
| 1801046073 | Nathaniel Mcmahan | Physical Therapist | 165 Main St Unit 209, Medway, MA 02053 | 2008-09-24 |
| 1831296847 | Thomas R Hart | Social Worker | 3 Birch Bark Road, Medway, MA 02053 | 2006-09-20 |
| 1720119951 | Carl M Sousa | Internal Medicine | 74 Main Street, Medway, MA 02053 | 2007-03-08 |
| 1699836999 | Gail Marie Carey | Counselor | 169 Main Street, Suite 101, Medway, MA 02053 | 2006-12-12 |
| 1285718098 | Carl M Sousa PC | Internal Medicine | 74 Main Street, Medway, MA 02053 | 2006-10-25 |
| Find all providers in zip 02053 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356628820 | Deborah Tomarakos | Speech-Language Pathologist | 9 Freedom Trl, Medway, MA 02053-6160 | 2011-11-10 |
| 1841403342 | Kara B. Corley V | Speech-Language Pathologist | 12 Hillview Ter, Medway, MA 02053-1946 | 2007-05-08 |
| 1215343801 | Jessica Nulty | Speech-Language Pathologist | 115 Holliston St, Medway, MA 02053-1954 | 2014-07-03 |
| 1689945313 | Susan Apicella | Speech-Language Pathologist | 115 Holliston St, Medway, MA 02053-1954 | 2012-01-26 |
| 1285848457 | Amy Varnerin | Speech-Language Pathologist | 115 Holliston St, Medway, MA 02053-1954 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952525 | Michaela Cataldo | Speech-Language Pathologist | 169 Beale St, Quincy, MA 02170-3340 | 2020-11-05 |
| 1235730235 | Communikids Speech and Language Services | Speech-Language Pathologist | 18 Groveland St, Auburndale, MA 02466-2319 | 2020-11-05 |
| 1366043234 | Katrina Mcnichol | Speech-Language Pathologist | 184 Pleasant Valley St Ste 2-102, Methuen, MA 01844-5853 | 2020-11-05 |
| 1801495627 | Taryn M Barlow | Speech-Language Pathologist | 7 Park Lane Ave, Milford, MA 01757-2023 | 2020-10-22 |
| 1902405236 | Elizabeth Anne Gavett | Speech-Language Pathologist | 8 Wesley St, Newton, MA 02458-1963 | 2020-10-19 |
| 1003414962 | Kristen Foaksman | Speech-Language Pathologist | 114 Greenwood Ave, Swampscott, MA 01907-2166 | 2020-10-13 |
| 1871190769 | Emma Comiskey | Speech-Language Pathologist | 210 Bear Hill Rd Ste 400, Waltham, MA 02451-1025 | 2020-10-05 |
| 1588271837 | Pamela J Hoag | Speech-Language Pathologist | 30 Lamson Ave, Belchertown, MA 01007-9710 | 2020-09-29 |
| 1821605221 | Allison Reid | Speech-Language Pathologist | 15 Quincy St Apt 6, Somerville, MA 02143-1751 | 2020-09-29 |
| 1255948709 | Boston Sensory Solutions | Speech-Language Pathologist | 500 Granite Ave Ste 2, Milton, MA 02186-5626 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
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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.