FOREDEFI ATHLETIC (NPI# 1487205324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487205324 |
| Entity Type | Organization |
| Organization Name | FOREDEFI ATHLETIC |
| Practice Address |
48 Eddy St Attleboro MA 02703-2406 |
| Mailing Address |
44 Vincent Rd Attleboro MA 02703-6844 |
| Practice Telephone | 5083139585 |
| Practice Fax Number | 5083139585 |
| Mailing Telephone | 5083139585 |
| Mailing Fax Number | 5083139585 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |
| Authorized Official Name | DR. TYLER MCCARTHY (CEO, DIRECTOR OF PERFORMANCE) |
| Authorized Official Telephone | 5083139585 |
| Authorized Official Credential | PT,DPT,CSCS,CES, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
48 EDDY ST |
| City | ATTLEBORO |
| State | MA |
| Zip Code | 02703-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447735196 | Neha Juneja | Dentist | 4 Park St., Attleboro, MA 02703 | 2018-09-28 |
| 1366960981 | Michael Crowley | Physical Therapist | 21 North Main Street, Attleboro, MA 02703 | 2017-09-04 |
| 1649719931 | Alpha Dental Center of Attleboro | Dentist | 140 Park St., Suite 3, Attleboro, MA 02703 | 2017-02-20 |
| 1134668874 | Matthew Camara | Developmental Therapist | 98 Middle Street, Attleboro, MA 02703 | 2017-02-14 |
| 1922543453 | Hannah Cho | Dentist | 4 Park Street, Attleboro, MA 02703 | 2016-12-19 |
| 1902340532 | Whitney Randant | Counselor | 23 Whineys Way, Attleboro, MA 02703 | 2016-12-16 |
| 1396193603 | Eric Boynton | Behavioral Analyst | 33 Perry Ave., Attleboro, MA 02703 | 2016-05-26 |
| 1316374770 | Sandy Glover | Counselor | 8 North Main St., Attleboro, MA 02703 | 2013-10-01 |
| 1790120830 | New England Behavioral Service, Inc. | Behavioral Analyst | 21 Park St., Suite 414, Attleboro, MA 02703 | 2013-05-02 |
| 1124390026 | Maria Jasmin Morales | Community/Behavioral Health | The Bates Building, 7 North Main Street, Attleboro, MA 02703 | 2012-02-08 |
| Find all providers in zip 02703 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508428145 | Victor Wei | Physical Therapist | 22 Town Farm Rd, Westford, MA 01886-2365 | 2019-07-03 |
| 1194380766 | Continuous Motion Physical Therapy | Physical Therapist | 10 Millenium Drive, Bourne, MA 02532 | 2019-05-08 |
| 1881933273 | Jennifer B Green | Physical Therapist | 9 Whalen Rd, Hopkinton, MA 01748-1719 | 2013-02-05 |
| 1720202088 | Maryellen Ernst | Physical Therapist | 28 Norfolk Ave, Swampscott, MA 01907-1805 | 2007-04-11 |
| 1972649440 | Laurence Paul Greenberg | Physical Therapist | 170 Pond Rd, West Tisbury, MA 02575-0130 | 2007-01-30 |
| 1285723049 | Richard Qualter | Physical Therapist | 160 Route 137, East Harwich, MA 02645-1316 | 2006-10-12 |
| 1225098544 | Michael Roger Garrett | Physical Therapist | 23 W Chester St, Apartment 5, Nantucket, MA 02554-3680 | 2006-03-23 |
| 1730151762 | Daniel Murray | Physical Therapist | 6 Grove St, Norwell, MA 02061-1534 | 2006-02-03 |
| 1245210715 | Jay Scott Cloutier | Physical Therapist | 66 Mdg/sgo, 90 Vandeberg Ave, Hanscom Afb, MA 01731 | 2006-01-19 |
| 1467446864 | James E. Zachazewski | Physical Therapist | 175 Cambridge Street, Suiite 470, Boston, MA 02114-2621 | 2005-08-31 |
| 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.