JENNIFER LUCICH (NPI# 1780165670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780165670 |
| Entity Type | Individual |
| Full Name | JENNIFER LUCICH |
| Practice Address |
87 Herrick St Beverly MA 01915-2773 |
| Practice Telephone | 9789211392 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
87 HERRICK ST |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915-2773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144237215 | Carl E Johnson | Internal Medicine | 87 Herrick St, Beverly, MA 01915-2773 | 2006-08-02 |
| 1154802270 | Nancy Garvey | Occupational Therapist | 87 Herrick St, Beverly, MA 01915-2773 | 2018-08-27 |
| 1043791155 | Marie Glaros | Physical Therapist | 87 Herrick St, Beverly, MA 01915-2773 | 2018-08-27 |
| 1467933572 | Martha Nichols | Physical Therapist | 87 Herrick St, Beverly, MA 01915-2773 | 2018-08-27 |
| 1558856419 | Steven Massero | Occupational Therapist | 87 Herrick St, Beverly, MA 01915-2773 | 2018-06-24 |
| 1134367006 | Cathy Lynne Johnson | Clinical Nurse Specialist | 87 Herrick St, Beverly, MA 01915-2773 | 2009-01-29 |
| 1558448878 | Ledgewood Healthcare Corporation | Skilled Nursing Facility | 87 Herrick St, Beverly, MA 01915-2773 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043791155 | Marie Glaros | Physical Therapist | 87 Herrick St, Beverly, MA 01915-2773 | 2018-08-27 |
| 1467933572 | Martha Nichols | Physical Therapist | 87 Herrick St, Beverly, MA 01915-2773 | 2018-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245863208 | Bernard Paul Tabungar | Physical Therapist | 630 Merrill Ln Apt 4, Dracut, MA 01826-4450 | 2020-02-18 |
| 1326686825 | Lisa Marie Villa | Physical Therapist | 37 Birch Street, Milford, MA 01757 | 2019-12-16 |
| 1952965329 | Sarah Daly | Physical Therapist | 125 Parker Hill Ave # Main2, Boston, MA 02120-2847 | 2019-04-30 |
| 1518430651 | Kennedy Ndamba | Physical Therapist | 119 Foster St, Peabody, MA 01960-5933 | 2019-01-10 |
| 1134634082 | Victoria Kilroy | Physical Therapist | 110 Haverhill Rd Ste 344, Amesbury, MA 01913-2139 | 2017-12-13 |
| 1760923825 | Karen Oster | Physical Therapist | 23 Shipyard Dr Apt 206, Hingham, MA 02043-1609 | 2017-03-09 |
| 1699214320 | Diane O'sullivan | Physical Therapist | 2112 Riverdale St Ste 1, West Springfield, MA 01089-1099 | 2017-02-14 |
| 1033515135 | Alice Hooper | Physical Therapist | 40 Pine Ridge Dr, Bridgewater, MA 02324-1964 | 2014-11-17 |
| 1952744377 | Amy Elizabeth Strong | Physical Therapist | 190 Peck St, Franklin, MA 02038-2218 | 2013-04-16 |
| 1750664017 | Virginia Elaine Silvia | Physical Therapist | 383 East St, Brockton, MA 02302 | 2011-09-23 |
| 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.