PHYSICAL THERAPY MANAGEMENT, INC. (NPI# 1407038177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407038177 |
Entity Type | Organization |
Organization Name | PHYSICAL THERAPY MANAGEMENT, INC. |
Practice Address |
51 Performance Dr Weymouth MA 02189-3104 |
Mailing Address |
14 Cardinal Rd Sandwich MA 02563-2316 |
Practice Telephone | 5088884750 |
Mailing Telephone | 5088884750 |
Enumeration Date | 2007-12-04 |
Last Update Date | 2007-12-04 |
Authorized Official Name | STEVEN HARRIS (PRESIDENT) |
Authorized Official Telephone | 5088331460 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
51 PERFORMANCE DR |
City | WEYMOUTH |
State | MA |
Zip Code | 02189-3104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821099110 | Shannon Dee Fullerton | Obstetrics & Gynecology | 51 Performance Dr, Entry 2, Weymouth, MA 02189-3141 | 2005-08-09 |
1043537400 | Kristin Elizabeth Gold | Obstetrics & Gynecology | 51 Performance Dr, Weymouth, MA 02189 | 2010-04-26 |
1437382447 | Kristen Dasilva Darland | Obstetrics & Gynecology | 51 Performance Dr, Weymouth, MA 02189 | 2009-08-25 |
1326282252 | South Shore Orthopedics LLC | Occupational Therapist | 51 Performance Dr, Weymouth, MA 02189-3141 | 2009-04-22 |
1699937524 | Harvard Vanguard Medical Associates | Radiology | 51 Performance Dr, Radiation Oncology, Weymouth, MA 02189-3104 | 2008-07-01 |
1164601514 | Kimberly Y Willis | Nurse Practitioner | 51 Performance Dr, Weymouth, MA 02189-3104 | 2007-11-01 |
1972796050 | Arthur J. Bowman Jr Md PC | Orthopaedic Surgery | 51 Performance Dr, Suite 300, Weymouth, MA 02189-3104 | 2007-08-22 |
1356562573 | Lisa Gioni | Obstetrics & Gynecology | 51 Performance Dr, Weymouth, MA 02189-3141 | 2007-05-02 |
1730307588 | Benjamin Powell Christian | Plastic Surgery | 51 Performance Dr, Weymouth, MA 02189-3141 | 2007-04-24 |
1669507141 | Thomas Patrick O'connor Jr. | Internal Medicine | 51 Performance Dr, Suite #110, Weymouth, MA 02189-3141 | 2007-02-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205300985 | M. Taylor Fontneau | Nurse Practitioner | 90 Libbey Industrial Pkwy Ste 106, Weymouth, MA 02189 | 2019-01-16 |
1336668011 | Svetlana Chentsova | Nurse Practitioner | 51 Performance Dr Fl Drive, Weymouth, MA 02189 | 2017-09-14 |
1518487818 | Dana Shepherd | Specialist/Technologist | 163 Libbey Industrial Parkway, Suite 302, Weymouth, MA 02189 | 2017-06-27 |
1063867802 | Gerald F. Finerty IIi | Nurse Anesthetist, Certified Registered | 163 Libbey Pkwy Ste 301, Weymouth, MA 02189 | 2016-04-29 |
1417326604 | Ocean State Urgent Care | Physician Assistant | 119 Liberty Bell Cir, Weymouth, MA 02189 | 2015-09-18 |
1558746636 | Jaime Hill | Nurse Practitioner | 31 Charles Street, Weymouth, MA 02189 | 2015-07-30 |
1780865337 | James Tyler Carpenter | Psychologist | Neurobehavioral Associates, 169 Libbey Parkway, 2nd Floor, Weymouth, MA 02189 | 2007-11-23 |
1508054248 | Anita Nathan Shukla | Ophthalmology | 97 Libbey Industrial Parkway, Suite 100, E. Weymouth, MA 02189 | 2007-10-09 |
1164618757 | Mahesh Pandey | Internal Medicine | Dana Farber Community Cancer Care, 51 Performance Drive, Suite 110, Weymouth, MA 02189 | 2007-09-18 |
1750573887 | Michele Donlon | Speech-Language Pathologist | 163 Libbey Industrial Pkwy Ste 302, Weymouth, MA 02189 | 2007-08-13 |
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Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205341245 | Infinite Potential Physical Therapy and Wellness | Physical Therapist | 242 Libbey Industrial Pkwy, Weymouth, MA 02189-3109 | 2017-12-13 |
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 |
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 |
1801252317 | Melissa Mae Hines | Physical Therapist | 364 Boylston St, Boston, MA 02116-3806 | 2016-01-13 |
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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.