Peter Michael Mykut (NPI# 1093260473, PAC ID# 6002103546) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1093260473 |
| PAC ID by PECOS | 6002103546 |
| Professional Enrollment ID | I20190327002238 |
| Full Name | Peter Michael Mykut |
| Organization Legal Name | BAY STATE PHYSICAL THERAPY OF RANDOLPH INC |
| Address |
445 Central St Stoughton MA 02072-1900 |
| Phone Number | 7813411942 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6305744251 |
| Number of Group Practice Members | 198 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 26 S Main St, Randolph, MA 02368-4821 | 7819619200 | BAY STATE PHYSICAL THERAPY OF RANDOLPH INC |
| 445 Central St, Stoughton, MA 02072-1900 | 7813411942 | BAY STATE PHYSICAL THERAPY OF RANDOLPH INC |
| Organization Legal Name | BAY STATE PHYSICAL THERAPY OF RANDOLPH INC |
| Physicians | 192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryant Lee | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 220 Ctr St, Unit 16, Pembroke, MA 02359-2656 |
| Meghan Mcphee | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 316 Huntington Ave, Boston, MA 02115-5019 |
| Tenzin Choephel | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 75 Finnell Dr, Weymouth, MA 02188-1110 |
| Steven Regan | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 67 Mechanic St, Foxboro, MA 02035-2012 |
| Alexandra Gustafson | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 1830 Main St, Apt 1, Tewksbury, MA 01876-4712 |
| Keri Donovan | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 133 Highland Ave, Salem, MA 01970-2774 |
| Jared Patrick Winston | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 7 Herring Pond Rd, Plymouth, MA 02360-6903 |
| Meghan Eckel | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 160 N Main St, Carver, MA 02330-1027 |
| Joseph Hoffman | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 1095 Washington St, Attleboro, MA 02703-7944 |
| Erin Chenette | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 35 Ymca Dr, Lowell, MA 01852-4005 |
| Street Address |
445 CENTRAL ST |
| City | STOUGHTON |
| State | MA |
| Zip | 02072-1900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carolyn Bertelson | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 445 Central St, Stoughton, MA 02072-1900 |
| Victoria R Etzel | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 445 Central St, Stoughton, MA 02072-1900 |
| Joshua Jordan | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 445 Central St, Stoughton, MA 02072-1900 |
| John W Judd | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 445 Central St, Stoughton, MA 02072-1900 |
| Jennifer Connell | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 445 Central St, Stoughton, MA 02072-1900 |
| Marie Carreras | Physical Therapy | Bay State Physical Therapy of Randolph PC | 445 Central St, Stoughton, MA 02072-1900 |
| Margaret A Cochrane | Physical Therapy | Bay State Physical Therapy of Randolph PC | 445 Central St, Stoughton, MA 02072-1900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Denapoli | Clinical Social Worker | Renz Counseling, LLC | 378 Page St, Suite 6, Stoughton, MA 02072-1124 |
| Andrea D Gefteas | Psychologist, Clinical | 331 Page St, Suite 3, Stoughton, MA 02072-1172 | |
| Alice F Furman | Clinical Social Worker | 450 Pearl St, Suite 3, Stoughton, MA 02072-1617 | |
| Christina M Fox-sencaj | Clinical Social Worker | 450 Pearl St, Suite 3, Stoughton, MA 02072-1617 | |
| Gabrielle P Abelard | Certified Clinical Nurse Specialist (cns) | 450 Pearl St, Suite 3, Stoughton, MA 02072-1617 | |
| Geraldine M Matteson | Physician Assistant | Carecentral Urgent Care Medical Group PC | 286 Washington St, Stoughton, MA 02072-1763 |
| Ulema L Graham | Nurse Practitioner | Carecentral Urgent Care Medical Group PC | 286 Washington St, Stoughton, MA 02072-1763 |
| Jamie Linde | Nurse Practitioner | Carecentral Urgent Care Medical Group PC | 286 Washington St, Stoughton, MA 02072-1763 |
| Renee N Gaudette Mcrae | Nurse Practitioner | Carecentral Urgent Care Medical Group PC | 286 Washington St, Stoughton, MA 02072-1763 |
| Laura Rozsika Kelley | Nurse Practitioner | Carecentral Urgent Care Medical Group PC | 286 Washington St, Stoughton, MA 02072-1763 |
| Find all physicians in zip 02072 | |||
| City | STOUGHTON |
| Zip Code | 02072 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | STOUGHTON + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Peter Michael Mykut.
| 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.