MR. DECLAN E FENNELL (NPI# 1366481608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366481608 |
| Entity Type | Individual |
| Full Name | MR. DECLAN E FENNELL |
| Credential | PT |
| Practice Address |
653 Summer St Second Floor Boston MA 02210-2108 |
| Mailing Address |
33 Pleasant St Braintree MA 02184-1838 |
| Practice Telephone | 6172696262 |
| Practice Fax Number | 6172691068 |
| Mailing Telephone | 7818436323 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 13347 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | NEIGHBORHOOD HEALTH PLAN | 8211 | 01 |
| MA | BLUE CROSS | Y67710 | 01 |
| MA | UNITED HEALTHCARE | 6440025 | 01 |
| MA | HARVARD PILGRIM | 603413 | 01 |
| MA | TUFTS HEALTH PLAN | 458473 | 01 |
| Street Address |
653 SUMMER ST SECOND FLOOR |
| City | BOSTON |
| State | MA |
| Zip Code | 02210-2108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881684934 | New Dimensions In Health, Inc. | Specialist | 653 Summer St, 2nd Floor, Boston, MA 02210-2108 | 2005-10-28 |
| 1982187951 | Mary Catherine Mcpherson | Physical Therapist | 653 Summer St, Boston, MA 02210-2108 | 2018-09-14 |
| 1033663315 | Jahid Najafi | Specialist | 653 Summer St, Floor 2, Boston, MA 02210-2108 | 2016-08-04 |
| 1447636311 | Caitlin Zorn | Specialist | 653 Summer St, Floor 2, Boston, MA 02210-2108 | 2015-08-03 |
| 1295086684 | Angel E Baricelli | Specialist | 653 Summer St, Floor # 2, Boston, MA 02210-2108 | 2012-09-25 |
| 1912235649 | Kenneth Frederick Stokes | Specialist | 653 Summer St, Floor 2, Boston, MA 02210-2108 | 2009-11-18 |
| 1407008295 | Jennifer Lee Washkevich | Physical Therapist | 653 Summer St, Boston, MA 02210-2108 | 2008-10-13 |
| 1912175571 | Jason B Mchugh | Physical Therapist | 653 Summer St, Floor 2, Boston, MA 02210-2108 | 2008-02-18 |
| 1285811885 | Chiropractic & Sports Services of Boston | Chiropractor | 653 Summer St, Boston, MA 02210-2108 | 2008-01-25 |
| 1194910968 | Stephen S. Haggerty | Specialist | 653 Summer St, 2nd Floor, Boston, MA 02210-2108 | 2007-09-13 |
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|---|---|---|---|---|
| 1104339308 | Jand Inc. | Eyewear Supplier (Equipment, not the service) | 72 Seaport Blvd, Boston, MA 02210 | 2017-11-09 |
| 1548655541 | Virtudent Ma LLC | Dentist | 21 Drydock Ave. 6th Floor, C/o Masschallenge, Boston, MA 02210 | 2015-04-06 |
| 1013310242 | Ella Osborn | Dentist | 268 Summer St, Boston, MA 02210 | 2014-10-02 |
| 1215231071 | Healthworks Med Group of Massachusetts P C | Clinic/Center | 245 Summer St Ste 1100, Boston, MA 02210 | 2011-01-07 |
| 1225228323 | Lisa R Hirschhorn | Internal Medicine | Jsi Research & Training, 44 Farnsworth Street, Boston, MA 02210 | 2007-07-26 |
| 1003038365 | Ma Department of Youth Services | Public Health or Welfare | 27 Wormwood Street, Suite 400, Boston, MA 02210 | 2007-05-03 |
| 1043365786 | Carol I Williams | Surgery | Mcmcllc, 88 Black Falcon Pier, Boston, MA 02210 | 2007-01-24 |
| 1801955265 | Anjali Aggarwal | Anesthesiology | One Park Lane, Apartment #1005, Boston, MA 02210 | 2006-12-08 |
| 1609987312 | Morton Bruce Rosenberg | Dentist | 25 Channel Center Street, #802, Boston, MA 02210 | 2006-08-31 |
| 1063446714 | Robert C Parke | Family Medicine | Boston Meps Medical Section, 495 Summer Street, Boston, MA 02210 | 2006-07-10 |
| Find all providers in zip 02210 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180788 | Madalsa Harshith Somaya | Physical Therapist | 35 Queensberry St Apt 19, Boston, MA 02215-5026 | 2020-10-02 |
| 1194346908 | Karlie Jennifer Whyte | Physical Therapist | 225 Northern Ave Unit 301, Boston, MA 02210-2046 | 2020-05-04 |
| 1770116337 | Kaitlyn Mckenna | Physical Therapist | 70 Francis St Bldg 1, Boston, MA 02115-6134 | 2020-02-21 |
| 1225661598 | Rachel Elaine Benjamin | Physical Therapist | 142 Berkeley St Ste 402, Boston, MA 02116-5100 | 2020-02-14 |
| 1083247449 | Alicia Capone | Physical Therapist | 1 H Street Pl, Boston, MA 02127-1421 | 2020-02-13 |
| 1083251276 | Karen Ann Clark | Physical Therapist | 1300 Soldiers Field Rd, Boston, MA 02135-1032 | 2019-12-06 |
| 1780221192 | Nicholas Schneid | Physical Therapist | 15 Channel Ctr St, Boston, MA 02210-3423 | 2019-12-04 |
| 1750925632 | Hannah Mcduffie | Physical Therapist | 44 School St Rm 350, Boston, MA 02108-4220 | 2019-11-04 |
| 1356982920 | Phoenix Therapy Service | Physical Therapist | 43 Riverview Rd, Boston, MA 02135-1835 | 2019-10-03 |
| 1972151397 | Sara Anne Macneill | Physical Therapist | 15 Parkman St Ste 128, Boston, MA 02114-3117 | 2019-08-28 |
| Find all providers in BOSTON | ||||
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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.