BAY STATE PHYSICAL THERAPY OF RANDOLPH INC (NPI# 1316507627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316507627 |
| Entity Type | Organization |
| Organization Name | BAY STATE PHYSICAL THERAPY OF RANDOLPH INC |
| Practice Address |
111 Willard St Ste 2a Quincy MA 02169-1274 |
| Mailing Address |
1 Credit Union Way Fl 3 Randolph MA 02368-4633 |
| Practice Telephone | 6174714491 |
| Practice Fax Number | 6174711114 |
| Mailing Telephone | 7819613370 |
| Mailing Fax Number | 7819611291 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Authorized Official Name | STEVEN WINDWER (CEO) |
| Authorized Official Telephone | 7819613370 |
| Authorized Official Credential | DC/PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Milton Chiropractic and Rehabilitation INC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821108549 | Bay State Physical Therapy of Randolph Inc | Chiropractor | 45 Forge Hill Rd, Franklin, MA 02038-3100 | 2006-08-30 |
| 1164474334 | Bay State Physical Therapy of Randolph Inc | Chiropractor | 1 Credit Union Way Fl 3, Randolph, MA 02368-4633 | 2006-05-16 |
| 1245340934 | Bay State Physical Therapy of Randolph Inc | Chiropractor | 40 Centre St, Concord, NH 03301-4214 | 2006-08-30 |
| 1740390459 | Bay State Physical Therapy of Randolph Inc | Chiropractor | 362 Belmont St, Brockton, MA 02301-4950 | 2006-08-30 |
| Street Address |
111 WILLARD ST STE 2A |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-1274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235244021 | Milton Chiropractic and Rehabilitation Inc | Chiropractor | 111 Willard St Ste 2a, Quincy, MA 02169-1274 | 2006-08-20 |
| 1083213896 | Ashleigh Berg | Chiropractor | 111 Willard St Ste 2a, Quincy, MA 02169-1274 | 2020-10-22 |
| 1013528082 | Rachel Wadkins | Physical Therapist | 111 Willard St Ste 2a, Quincy, MA 02169-1274 | 2020-08-13 |
| 1972144780 | Dylan Dyer | Chiropractor | 111 Willard St Ste 2a, Quincy, MA 02169-1274 | 2019-10-02 |
| 1669032413 | Jeffrey Samuel Paskewitz | Physical Therapist | 111 Willard St Ste 2a, Quincy, MA 02169-1274 | 2019-06-14 |
| 1639649221 | Jessie D. Swink | Chiropractor | 111 Willard St Ste 2a, Quincy, MA 02169 | 2018-11-27 |
| 1861971996 | Sara Burgett | Physical Therapist | 111 Willard St Ste 2a, Quincy, MA 02169-1274 | 2018-08-09 |
| 1104327170 | Jennyfer Franca | Chiropractor | 111 Willard St Ste 2a, Quincy, MA 02169-1274 | 2018-02-26 |
| 1710402052 | Sara Gagne | Chiropractor | 111 Willard St Ste 2a, Quincy, MA 02169-1274 | 2017-08-08 |
| 1992227482 | George Yacoub Aoude | Chiropractor | 111 Willard St Ste 2a, Quincy, MA 02169-1274 | 2017-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| 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 |
|---|---|---|---|---|
| 1154789956 | Daryle Ann Hightower | Chiropractor | 332 S 36th St Ste 3, Quincy, IL 62301-5808 | 2016-02-08 |
| 1558728683 | Trevor Grayling Akers I | Chiropractor | 837 N 36th St, Quincy, IL 62301-4626 | 2016-01-20 |
| 1932573805 | Created for Motion Wellness Center LLC | Chiropractor | 105 N 36th St Ste 101, Quincy, IL 62301-3704 | 2015-11-16 |
| 1417360116 | Chiro Wellness Professionals LLC | Chiropractor | 1200 Hancock St, Ste 306, Quincy, MA 02169-4318 | 2014-06-10 |
| 1023371200 | Cassidy Elaine Kaiser | Chiropractor | 319 S Ray Quincy Rd, Quincy, MI 49082-9788 | 2012-06-21 |
| 1518240449 | Tamara Lynn Burkhead | Chiropractor | 1102 West Jefferson St., Quincy, FL 32351-2212 | 2011-09-27 |
| 1255633061 | Becky Grimm Dc Sc | Chiropractor | 521 S 24th St, Quincy, IL 62301-5730 | 2010-11-30 |
| 1912232547 | Leslie Rogers Trimble | Chiropractor | 1704 N 24th St, Ste 1, Quincy, IL 62301-3304 | 2009-10-15 |
| 1447497391 | Mary Chau | Chiropractor | 423a Hancock St, Quincy, MA 02171-2408 | 2009-01-14 |
| 1740407543 | Suzanne Denise Feldmann | Chiropractor | 1210 N 24th St, Quincy, IL 62301-2233 | 2007-04-20 |
| Find all providers in QUINCY | ||||
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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.