DR. JOHN ALEXANDER WALLINGTON (NPI# 1265819577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265819577 |
| Entity Type | Individual |
| Full Name | DR. JOHN ALEXANDER WALLINGTON |
| Credential | M.D. |
| Practice Address |
110 Liberty St Brockton MA 02301-5674 |
| Mailing Address |
680 Centre St Brockton MA 02302-3308 |
| Practice Telephone | 5085653055 |
| Practice Fax Number | 5088940757 |
| Mailing Telephone | 5089417000 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2020-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 283962 | MA | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 4301107103 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301107103 | MI | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3601 W 13 Mile Rd, Royal Oak, MI 480736712 | 2488985000 |
| Street Address |
110 LIBERTY ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-5674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164416186 | Aqeel Siddiqui | Surgery | 110 Liberty St, Brockton, MA 02301-5521 | 2005-09-06 |
| 1902404981 | Sara Louise Borrello | Dietitian, Registered | 110 Liberty St, Brockton, MA 02301-5674 | 2020-10-13 |
| 1134735392 | Meredith Celine Harrington | Physical Medicine & Rehabilitation | 110 Liberty St, Brockton, MA 02301-5674 | 2020-09-22 |
| 1356951784 | Adam S Donahue | Nurse Practitioner | 110 Liberty St, Brockton, MA 02301-5674 | 2020-07-31 |
| 1427603851 | Kristen Laura Barrett | Registered Nurse | 110 Liberty St, Brockton, MA 02301-5674 | 2019-08-02 |
| 1427611722 | Donovan Kelly | Specialist/Technologist | 110 Liberty St, Brockton, MA 02301-5674 | 2019-04-22 |
| 1316411481 | Cassandra Desjardins | Nurse Practitioner | 110 Liberty St, Brockton, MA 02301-5521 | 2019-01-11 |
| 1407353154 | Dean Robert Howell | Social Worker | 110 Liberty St, Brockton, MA 02301-5674 | 2018-04-10 |
| 1619473725 | Patricia L Ramanauskas | Technician/Technologist | 110 Liberty St, Brockton, MA 02301-5521 | 2018-04-05 |
| 1588182323 | Alicia Reid | Specialist/Technologist | 110 Liberty St, Brockton, MA 02301-5521 | 2017-08-31 |
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| 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 |
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| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770976011 | Rosealiza Wan Zaid | Physical Medicine & Rehabilitation | 425 Pleasant St Ste 202, Brockton, MA 02301-2533 | 2015-03-11 |
| 1285657924 | Jay Michael Portnow | Physical Medicine & Rehabilitation | 377 Belmont St, Brockton, MA 02301-4995 | 2006-07-25 |
| 1063993640 | Susan Diver | Physical Medicine & Rehabilitation | 215 Thatcher St, Brockton, MA 02302-3949 | 2018-08-22 |
| 1104267012 | Tara Samantha Swim | Physical Medicine & Rehabilitation | 110 Liberty St, Brockton, MA 02301-5674 | 2013-07-09 |
| 1770602161 | Enrico F Demaio | Physical Medicine & Rehabilitation | 348 N Pearl St, Brockton, MA 02301-1197 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087755 | Hannah Neary | Physical Medicine & Rehabilitation | 130 North St Ste C, Hyannis, MA 02601-3825 | 2020-09-15 |
| 1548895063 | Lefki Michael-maxim | Physical Medicine & Rehabilitation | 481 Heald Rd, Carlisle, MA 01741-1422 | 2020-03-04 |
| 1780218776 | Shweta Sethi | Physical Medicine & Rehabilitation | 5 Samantha Way, Acton, MA 01720-4173 | 2020-02-27 |
| 1124667043 | Sakonnet Acupuncture and Services, LLC | Physical Medicine & Rehabilitation | 415 Elsbree St, Fall River, MA 02720-7297 | 2019-12-23 |
| 1902454598 | Daniel Griffin Iv | Physical Medicine & Rehabilitation | 470 Shoemaker Ln, Agawam, MA 01001-3620 | 2019-08-28 |
| 1134618416 | Trudy Cassandra Babb | Physical Medicine & Rehabilitation | 4 Bertuccio Ave Apt 1, Salem, MA 01970-2902 | 2018-05-02 |
| 1629578026 | Hana Pain & Rehab Clinic, PC | Physical Medicine & Rehabilitation | 39 Brighton Ave # 103, Allston, MA 02134-2301 | 2018-02-13 |
| 1619483955 | Nadine Adams | Physical Medicine & Rehabilitation | 33 Rockland St, Hanover, MA 02339-2206 | 2017-12-22 |
| 1124539952 | John Steven Fields | Physical Medicine & Rehabilitation | 129 Adams St, Holliston, MA 01746-1469 | 2017-10-19 |
| 1164933404 | Kaitlyn Sowyrda | Physical Medicine & Rehabilitation | 319a Southbridge St Ste 150, Auburn, MA 01501-2568 | 2017-10-13 |
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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.