PAUL FATH (NPI# 1952916157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952916157 |
| Entity Type | Individual |
| Full Name | PAUL FATH |
| Credential | DPT |
| Practice Address |
564 Main St Waltham MA 02452-5516 |
| Practice Telephone | 7818948880 |
| Practice Fax Number | 7818941121 |
| Mailing Telephone | 7818948880 |
| Mailing Fax Number | 7818941121 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 23737 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
23737 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
564 MAIN ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02452-5516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255323747 | Shenbagam Dewar | Family Medicine | 564 Main St, Waltham, MA 02452-5516 | 2005-08-19 |
| 1063033231 | Chiara Alicia Amendola | Behavioral Analyst | 564 Main St, Waltham, MA 02452-5516 | 2020-04-29 |
| 1063067916 | Dominique Nicole Auger | Physical Therapist | 564 Main St, Waltham, MA 02452-5516 | 2019-08-07 |
| 1255898151 | Adrielle Rose Tobias | Physical Therapist | 564 Main St, Waltham, MA 02452-5516 | 2019-02-27 |
| 1568946531 | Evan Wright Mills | Physical Therapist | 564 Main St, Waltham, MA 02452-5516 | 2018-09-17 |
| 1639695653 | Jessica Bonchi | Physical Therapist | 564 Main St, Waltham, MA 02452-5516 | 2017-08-22 |
| 1235528050 | Christa L Jean-baptiste | Nurse Practitioner | 564 Main St, Waltham, MA 02452-5516 | 2015-01-16 |
| 1518362326 | Elizabeth Lamay | Physical Therapist | 564 Main St, Waltham, MA 02452-5516 | 2014-10-23 |
| 1063812477 | Andrew Young | Physical Therapist | 564 Main St, Waltham, MA 02452-5516 | 2014-09-04 |
| 1790045748 | Mark Hansberry | Physical Therapist | 564 Main St, Waltham, MA 02452-5516 | 2012-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894896 | Nsea Macipa LLC | Ophthalmology | 135 Beaver Street Ste 309, Waltham, MA 02452 | 2019-08-01 |
| 1750879383 | Rosemary Klein | Psychologist | Waltham Court Clinic, 38 Linden St., Waltham, MA 02452 | 2018-04-30 |
| 1497256374 | Chithra Susan Kuriakose | Nurse Practitioner | Waltham Medical Group, 6 Lexington St., 2nd Floor, Waltham, MA 02452 | 2018-02-26 |
| 1861883001 | Melanie H Deveikas | Physical Therapist | 425 Waverley Oaks Rd, Waltham, MA 02452 | 2015-02-10 |
| 1770992059 | Hope Elisabeth Forbes | Psychologist | 175 Forest St., Bentley University Counseling Center, Waltham, MA 02452 | 2014-08-12 |
| 1326462557 | Ann M Fletcher | Social Worker | 100 Church St., Waltham, MA 02452 | 2014-02-07 |
| 1801239397 | Rainbow Adhc of Waltham | Clinic/Center | 411 Waverly Oak Rd # 2, Suite 214, Waltham, MA 02452 | 2013-04-15 |
| 1356689335 | Jessica M Liberty | Physical Therapist | 425 Waverley Oaks Rd., Waltham, MA 02452 | 2013-01-25 |
| 1386946960 | Janyce M Gately | Dietitian, Registered | 425 Waverley Oaks Rd Ste 200, Waltham, MA 02452 | 2010-12-02 |
| 1265618839 | Anita Lynn Hurd | Registered Nurse | 411 Waverely Oaks Road, Building #3, Suite 305, Waltham, MA 02452 | 2008-01-14 |
| Find all providers in zip 02452 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750924148 | Allison Partridge | Physical Therapist | 52 2nd Ave, Waltham, MA 02451-1127 | 2019-10-18 |
| 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 |
| 1205341245 | Infinite Potential Physical Therapy and Wellness | Physical Therapist | 242 Libbey Industrial Pkwy, Weymouth, MA 02189-3109 | 2017-12-13 |
| 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 |
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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.