Christopher Thomas Stack (NPI# 1316457393, PAC ID# 3779849138) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1316457393 |
| PAC ID by PECOS | 3779849138 |
| Professional Enrollment ID | I20180906002613 |
| Full Name | Christopher Thomas Stack |
| Organization Legal Name | PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC |
| Address |
194 Newbury St Peabody MA 01960-2421 |
| Phone Number | 9785485384 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7911979950 |
| Number of Group Practice Members | 134 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 194 Newbury St, Peabody, MA 01960-2421 | 9785485384 | PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC |
| Organization Legal Name | PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC |
| Physicians | 147 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kerri Ann Graber | Physical Therapy | Performance Rehabilitation of Western New England LLC | 425 Brookline Ave, Boston, MA 02215-5410 |
| Rachel Annelise Boynton | Physical Therapy | Performance Rehabilitation of Western New England LLC | 348 Cooley St, Unit 10, Springfield, MA 01128-1144 |
| Jessica Marie Mclaughlin | Physical Therapy | Performance Rehabilitation of Western New England LLC | 947 Worcester St, Natick, MA 01760-2032 |
| Kevin Michael Rzepka | Physical Therapy | Performance Rehabilitation of Western New England LLC | 168 Denslow Rd, East Longmeadow, MA 01028-3188 |
| Julia R Biedrzycki | Physical Therapy | Performance Rehabilitation of Western New England LLC | 75 Spring St, Suite 77, West Roxbury, MA 02132-4335 |
| Anna Lawson Duffey | Physical Therapy | Performance Rehabilitation of Western New England LLC | 14 Mcgrath Hwy, Unit 5, Somerville, MA 02143-4505 |
| Dianne Linda Hagan | Occupational Therapy | Performance Rehabilitation of Western New England LLC | 1661 Worcester Rd, Suite 105, Framingham, MA 01701-5405 |
| Kevin Michael Traupmann | Physical Therapy | Performance Rehabilitation of Western New England LLC | 2 Laurel Ave, Wellesley, MA 02481-7523 |
| Jordan Scott Metcalf | Physical Therapy | Performance Rehabilitation of Western New England LLC | 1 Kendall Sq, Suite B14104, Cambridge, MA 02139-1573 |
| Erica Ide Bilodeau | Physical Therapy | Performance Rehabilitation of Western New England LLC | 11 Cabot Rd, Woburn, MA 01801-1003 |
| Street Address |
194 NEWBURY ST |
| City | PEABODY |
| State | MA |
| Zip | 01960-2421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Depalma | Physical Therapy | Performance Rehabilitation of Western New England LLC | 194 Newbury St, Peabody, MA 01960-2421 |
| Kelly Garrity | Physical Therapy | Carl Gustafson LLC | 194 Newbury St, Peabody, MA 01960-2421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith H Sherwood | Oral Surgery | 2 Essex Ctr Dr, Peabody, MA 01960 | |
| Mona Sigal | Internal Medicine | Nourish Health With Food for Life LLC | 2 Bourbon St, Peabody, MA 01960-1384 |
| Richard M Danubio | Chiropractic | 474 Lowell St, Peabody, MA 01960-1385 | |
| Susan Giles | Nurse Practitioner | Erickson Health Medical Group of Massachusetts PC | 100 Brooksby Village Dr, Peabody, MA 01960-1438 |
| Ajaykumar S Patel | Hospice/palliative Care | Erickson Health Medical Group of Massachusetts PC | 100 Brooksby Village Dr, Peabody, MA 01960-1438 |
| David G Mulder | Internal Medicine | Erickson Health Medical Group of Massachusetts PC | 100 Brooksby Village Dr, Peabody, MA 01960-1438 |
| Sarah B Robertson | Nurse Practitioner | Erickson Health Medical Group of Massachusetts PC | 100 Brooksby Village Dr, Peabody, MA 01960-1438 |
| Christine M Cudihy | Nurse Practitioner | Erickson Health Medical Group of Massachusetts PC | 100 Brooksby Village Dr, Peabody, MA 01960-1438 |
| Caroline M Sims | Clinical Social Worker | Erickson Health Medical Group of Massachusetts PC | 100 Brooksby Village Dr, Peabody, MA 01960-1438 |
| Dennis A Tuck | Podiatry | Erickson Health Medical Group of Massachusetts PC | 100 Brooksby Village Dr, Peabody, MA 01960-1438 |
| Find all physicians in zip 01960 | |||
| City | PEABODY |
| Zip Code | 01960 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | PEABODY + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.