Bay State Physical Therapy Of Randolph Inc - Medicare Physical Therapist in Braintree, MA

Bay State Physical Therapy Of Randolph Inc is a medicare enrolled "Physical Therapist" provider in Braintree, Massachusetts. Their current practice location is 703 Granite St Ste 300, Braintree, Massachusetts. You can reach out to their office (for appointments etc.) via phone at (781) 961-3370.

Bay State Physical Therapy Of Randolph Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Bay State Physical Therapy Of Randolph Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1164474334.

Contact Information

Bay State Physical Therapy Of Randolph Inc
703 Granite St Ste 300,
Braintree, MA 02184-5350
(781) 961-3370
(781) 961-1291

Map and Direction




Healthcare Provider's Profile

Full NameBay State Physical Therapy Of Randolph Inc
TypeFacility
SpecialityPhysical Therapist
Location703 Granite St Ste 300, Braintree, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164474334
  • Provider Enumeration Date: 05/16/2006
  • Last Update Date: 01/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6305744251
  • Enrollment ID: O20191112001187

Medical Identifiers

Medical identifiers for Bay State Physical Therapy Of Randolph Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164474334NPI-NPPES
689511OtherMATUFTS HEALTH PLAN
9705601MedicaidMA
626127OtherMAHARVARD PILGRIM
0009411OtherMAALLWAYS HEALTHCARE (FORMERLY NHP)
684486OtherMAOPTUM/UHC
PT0101OtherMAMEDICARE PIN
Y61008OtherMABLUE CROSS BLUE SHIELD (MA)

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Primary
225X00000XOccupational Therapist (Massachusetts)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bay State Physical Therapy Of Randolph Inc acts as a billing entity for following providers:
Provider NameStacy Lehane
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194744375
PECOS PAC ID: 5294633707
Enrollment ID: I20031222000498
Provider NameSunit Jolly
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1366461519
PECOS PAC ID: 3173418811
Enrollment ID: I20040220000185
Provider NameBret Ferrell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780600734
PECOS PAC ID: 8527956978
Enrollment ID: I20040308000499
Provider NameRebecca C Smith
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699759084
PECOS PAC ID: 9335037522
Enrollment ID: I20040309000740
Provider NameCatherine A Sullivan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922050574
PECOS PAC ID: 4385639962
Enrollment ID: I20040415000207
Provider NameNicole J Barone
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447263264
PECOS PAC ID: 6709872096
Enrollment ID: I20040422000476
Provider NameLisa M Franco
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407824337
PECOS PAC ID: 7911996285
Enrollment ID: I20040511000906
Provider NameTravis E Schoen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215920384
PECOS PAC ID: 3678544509
Enrollment ID: I20040804000772
Provider NameMichael Fiore
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982662581
PECOS PAC ID: 1759342074
Enrollment ID: I20041020000923
Provider NameMatthew Rajotte
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528080033
PECOS PAC ID: 3072576560
Enrollment ID: I20041105000425
Provider NameDavid Smith
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1043232242
PECOS PAC ID: 1153384060
Enrollment ID: I20041110001020
Provider NamePamela Powell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144206681
PECOS PAC ID: 2466496708
Enrollment ID: I20050616000913
Provider NameJoy Ladd
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1770597080
PECOS PAC ID: 4587694245
Enrollment ID: I20050812000930
Provider NameMichael R King
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588609804
PECOS PAC ID: 2365461217
Enrollment ID: I20051121000347
Provider NameKristine R Towers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063518694
PECOS PAC ID: 1052331212
Enrollment ID: I20051202000067
Provider NameMark F Medeiros
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1114996717
PECOS PAC ID: 7416979455
Enrollment ID: I20051219000915
Provider NameStephanie L Monteagudo
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1093737348
PECOS PAC ID: 2567470925
Enrollment ID: I20060327000251
Provider NameKerry Fogarty
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841341245
PECOS PAC ID: 2860400108
Enrollment ID: I20060329000268
Provider NameMara W Robinson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679690622
PECOS PAC ID: 3173532660
Enrollment ID: I20060411000531
Provider NameChristopher Marshall
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588610356
PECOS PAC ID: 1355350844
Enrollment ID: I20060411000540
Provider NameJennifer Boland
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801011838
PECOS PAC ID: 7416966841
Enrollment ID: I20060413000117
Provider NameKimberly A Norwood
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083613772
PECOS PAC ID: 1456360890
Enrollment ID: I20060413000271
Provider NamePaul J Salvi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477647295
PECOS PAC ID: 2668481839
Enrollment ID: I20060417000369
Provider NameKathleen Daggett
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255384699
PECOS PAC ID: 7517976780
Enrollment ID: I20060417000413
Provider NameKimberly O'sullivan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427513506
PECOS PAC ID: 1557370582
Enrollment ID: I20060419000227
Provider NameJohn W Olson
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1700957495
PECOS PAC ID: 7214947159
Enrollment ID: I20060421000453
Provider NameTyler J Smith
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851306153
PECOS PAC ID: 5698736056
Enrollment ID: I20060424000115
Provider NameHeather Graham
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1639223761
PECOS PAC ID: 2961412747
Enrollment ID: I20060424000335
Provider NameJoanne Cancro
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1174602353
PECOS PAC ID: 6406879550
Enrollment ID: I20060426000575
Provider NameGretchen L Carney
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1902860257
PECOS PAC ID: 4284644758
Enrollment ID: I20060427000511
Provider NameAlicia M Whipple
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487607800
PECOS PAC ID: 8224048475
Enrollment ID: I20060502000682
Provider NameMichael K York
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1285664474
PECOS PAC ID: 9133103922
Enrollment ID: I20060503000648
Provider NameJames Marcotte
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285687608
PECOS PAC ID: 7315958279
Enrollment ID: I20060508000399
Provider NameKeri A Walsh
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730135013
PECOS PAC ID: 5193736833
Enrollment ID: I20060510000068
Provider NameBrenda Elise Fitzgerald
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447275581
PECOS PAC ID: 0446253884
Enrollment ID: I20060824000345
Provider NameNicole M Langlois
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1083625917
PECOS PAC ID: 0840294328
Enrollment ID: I20060914000565
Provider NameNicole D. Poirier
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154420297
PECOS PAC ID: 5597760652
Enrollment ID: I20060922000410
Provider NameBeth Welch
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508949678
PECOS PAC ID: 8628077450
Enrollment ID: I20061205000490
Provider NameRobert P Melino
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326105305
PECOS PAC ID: 3870594625
Enrollment ID: I20070123000197
Provider NameAlicia M Juaire Cabral
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306971361
PECOS PAC ID: 3870697253
Enrollment ID: I20070323000262
Provider NameJulie L Fox
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427109891
PECOS PAC ID: 5395849079
Enrollment ID: I20070406000242
Provider NameCandice N Reid
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053486894
PECOS PAC ID: 6103923222
Enrollment ID: I20070523000644
Provider NameTeresa Rettman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1194787325
PECOS PAC ID: 5799872511
Enrollment ID: I20071025000664
Provider NameEdward T Willett
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356452205
PECOS PAC ID: 7719905298
Enrollment ID: I20071123000010
Provider NameRobert F Crawford
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073704680
PECOS PAC ID: 2769572999
Enrollment ID: I20071212000280
Provider NameJames D Buzzell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073597613
PECOS PAC ID: 5092805150
Enrollment ID: I20071213000542
Provider NameCheryl Boudreau
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114109873
PECOS PAC ID: 1658451653
Enrollment ID: I20080103000269
Provider NameAmy J Baker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508069857
PECOS PAC ID: 5799868683
Enrollment ID: I20080215000352
Provider NameTimothy C Kiley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245418235
PECOS PAC ID: 5193800902
Enrollment ID: I20080304000378
Provider NameGregory P Vescera
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275552499
PECOS PAC ID: 5294715603
Enrollment ID: I20080424000019
Provider NameMelanie Snyder
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467698670
PECOS PAC ID: 9335296037
Enrollment ID: I20090415000674
Provider NameJessica Thomas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841425634
PECOS PAC ID: 8921159286
Enrollment ID: I20090625000649
Provider NameJodie B Humphrey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730334392
PECOS PAC ID: 5092602151
Enrollment ID: I20090731000044
Provider NameChristy Dillon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487885299
PECOS PAC ID: 9638215247
Enrollment ID: I20091013000594
Provider NameSean Willoughby
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336259860
PECOS PAC ID: 2062558521
Enrollment ID: I20091014000253
Provider NameBrad Boulanger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609102714
PECOS PAC ID: 2769521475
Enrollment ID: I20091209000089
Provider NameKatie Couture
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992034912
PECOS PAC ID: 3274677372
Enrollment ID: I20100212000149
Provider NameJeanne Spillane
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104075266
PECOS PAC ID: 8921136755
Enrollment ID: I20100514000359
Provider NameJenny Digioia
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790011658
PECOS PAC ID: 3375675887
Enrollment ID: I20100720000222
Provider NameAlison Bertone
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619100542
PECOS PAC ID: 1850423385
Enrollment ID: I20100720000413
Provider NameJennifer Gorman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770800765
PECOS PAC ID: 6901939040
Enrollment ID: I20100727000297
Provider NameSarah H Freitas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639407836
PECOS PAC ID: 9638203565
Enrollment ID: I20100814000071
Provider NameLynn Biello
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851622146
PECOS PAC ID: 0345364733
Enrollment ID: I20100908000477
Provider NameEduardo U Regner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114988920
PECOS PAC ID: 1759302920
Enrollment ID: I20101005000163
Provider NameReena M Patel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770887861
PECOS PAC ID: 5092999342
Enrollment ID: I20110411000413
Provider NameKenneth Nwosu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750688594
PECOS PAC ID: 9032393186
Enrollment ID: I20110414000041
Provider NameMichael Sheehan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578853131
PECOS PAC ID: 1153509898
Enrollment ID: I20110628000091
Provider NameAmanda Augusto
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407143639
PECOS PAC ID: 4082883863
Enrollment ID: I20110811000797
Provider NameRenee King
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538449822
PECOS PAC ID: 1850563180
Enrollment ID: I20111011000353
Provider NameMichelle Fritze
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740561455
PECOS PAC ID: 8820262710
Enrollment ID: I20111110000255
Provider NameLauren Ruff
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033342977
PECOS PAC ID: 0042485393
Enrollment ID: I20111214000899
Provider NameNancy Mcdonald
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417172586
PECOS PAC ID: 0042486557
Enrollment ID: I20120105000226
Provider NameRyan B Myers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1366726846
PECOS PAC ID: 7214103670
Enrollment ID: I20120106000009
Provider NamePatti A Delage
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437260353
PECOS PAC ID: 6709053713
Enrollment ID: I20120114000001
Provider NameElizabeth A Dolby
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285726810
PECOS PAC ID: 8123046745
Enrollment ID: I20120123000629
Provider NameKara Alterio
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285667642
PECOS PAC ID: 5890957997
Enrollment ID: I20120508000193
Provider NameGina Powers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720122369
PECOS PAC ID: 3274799978
Enrollment ID: I20120725000153
Provider NameCuisle N Kierans
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1649534678
PECOS PAC ID: 3072763648
Enrollment ID: I20121017000707
Provider NameChristopher David Gellert
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053486282
PECOS PAC ID: 4880792829
Enrollment ID: I20121031000017
Provider NameElizabeth Chasse
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215282769
PECOS PAC ID: 6103078886
Enrollment ID: I20121203000351
Provider NameAlyssa Bissonnette
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851635817
PECOS PAC ID: 8921251570
Enrollment ID: I20130109000513
Provider NameLaura B Chan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558609495
PECOS PAC ID: 4082850136
Enrollment ID: I20130417000151
Provider NameJessica M Liberty
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356689335
PECOS PAC ID: 3173760410
Enrollment ID: I20130506000372
Provider NameMatthew Procopio
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285972265
PECOS PAC ID: 1254578107
Enrollment ID: I20130513000410
Provider NameJennifer Connell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720329832
PECOS PAC ID: 7810134632
Enrollment ID: I20130514000591
Provider NameJanuary Austin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780930552
PECOS PAC ID: 6507003340
Enrollment ID: I20130514000725
Provider NameDana G Pemberton
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1992043293
PECOS PAC ID: 4385881945
Enrollment ID: I20130520000270
Provider NameErin M Sousa
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649511940
PECOS PAC ID: 3678712585
Enrollment ID: I20130625000198
Provider NameEugene Lyons
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255764437
PECOS PAC ID: 8527202357
Enrollment ID: I20130918000396
Provider NameBrittany Little
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386077261
PECOS PAC ID: 8426282187
Enrollment ID: I20131011000614
Provider NameBrittany Mordarski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710310040
PECOS PAC ID: 0749414316
Enrollment ID: I20131015000284
Provider NameMarissa Gill
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477891463
PECOS PAC ID: 5991930364
Enrollment ID: I20131022000050
Provider NameJoshua Harpel
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1447690334
PECOS PAC ID: 8628203148
Enrollment ID: I20131108000330
Provider NameDavid Clarke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447685516
PECOS PAC ID: 4486880408
Enrollment ID: I20131122000307
Provider NameDaniel R Levasseur
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760817092
PECOS PAC ID: 8224264841
Enrollment ID: I20131203001863
Provider NameRobyn Stone
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730519752
PECOS PAC ID: 7416184403
Enrollment ID: I20131219000824
Provider NameTimothy L Arcand
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1376977215
PECOS PAC ID: 1759511678
Enrollment ID: I20140220000555
Provider NameRebecca R Jankins
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811311269
PECOS PAC ID: 2163653866
Enrollment ID: I20140321001433
Provider NameKathleen C Coughlin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699198416
PECOS PAC ID: 7214169564
Enrollment ID: I20140421000670
Provider NameLaura Kleinstiver
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649694241
PECOS PAC ID: 0446474720
Enrollment ID: I20140605001701
Provider NameKara Feloney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457790305
PECOS PAC ID: 6800010034
Enrollment ID: I20140610000772
Provider NameChristine A Miller
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1861815441
PECOS PAC ID: 7416187786
Enrollment ID: I20141001000545
Provider NameLauren Gray Richardson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588064430
PECOS PAC ID: 6709006398
Enrollment ID: I20141002000925
Provider NameMeghan C Taber
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992104897
PECOS PAC ID: 3072733450
Enrollment ID: I20141007001347
Provider NameMegan Seymour
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043611676
PECOS PAC ID: 8527289602
Enrollment ID: I20141015001492
Provider NameTara Mitchell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326457649
PECOS PAC ID: 0042432890
Enrollment ID: I20141111000050
Provider NameKimberly D Witkowski
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1598098857
PECOS PAC ID: 9830411693
Enrollment ID: I20141205000069
Provider NameAshley Anne Masih
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154749489
PECOS PAC ID: 0042534463
Enrollment ID: I20150113001441
Provider NameElizabeth Lamay
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518362326
PECOS PAC ID: 3870817984
Enrollment ID: I20150121000315
Provider NameAdam Soiref
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063836880
PECOS PAC ID: 8921325531
Enrollment ID: I20150319000838
Provider NameMelanie H Deveikas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861883001
PECOS PAC ID: 8820315344
Enrollment ID: I20150323000368
Provider NameSusan R Thomas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396704441
PECOS PAC ID: 2769572932
Enrollment ID: I20150402000556
Provider NameJennifer Mcbride
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619370665
PECOS PAC ID: 2961720420
Enrollment ID: I20150413001167
Provider NameMichael J Gamache
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881070084
PECOS PAC ID: 2668789165
Enrollment ID: I20150916000903
Provider NameGiana Maria Pagliocco
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699173666
PECOS PAC ID: 1153638507
Enrollment ID: I20150916003103
Provider NameElise Robinson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891171484
PECOS PAC ID: 3870800287
Enrollment ID: I20150917001368
Provider NameLauren Corliss
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699168245
PECOS PAC ID: 8022326933
Enrollment ID: I20150925002036
Provider NameAmelia Foster
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619353216
PECOS PAC ID: 3375851405
Enrollment ID: I20151008002669
Provider NameKate Paulhus
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851779292
PECOS PAC ID: 4880904747
Enrollment ID: I20151104001519
Provider NameLaura E Pempkowski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649656141
PECOS PAC ID: 1658681283
Enrollment ID: I20151110001941
Provider NameSonja Y Moik
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033517842
PECOS PAC ID: 6406166727
Enrollment ID: I20151117000210
Provider NameJodi Farrin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497009146
PECOS PAC ID: 8527368042
Enrollment ID: I20151204000915
Provider NameRyan Andrew
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306212790
PECOS PAC ID: 6901107408
Enrollment ID: I20151228001753
Provider NameDanielle Miller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154709590
PECOS PAC ID: 2062714785
Enrollment ID: I20160112001063
Provider NameVeronica Lopes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396111779
PECOS PAC ID: 9133421779
Enrollment ID: I20160113001997
Provider NameSalena Lashley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477923779
PECOS PAC ID: 8729381983
Enrollment ID: I20160121000849
Provider NameHeather Waters
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093184160
PECOS PAC ID: 7618270877
Enrollment ID: I20160121000913
Provider NameMaura Molinaro
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952775777
PECOS PAC ID: 7012210115
Enrollment ID: I20160125000147
Provider NameMelissa Berkowitz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417296583
PECOS PAC ID: 3375847833
Enrollment ID: I20160204000629
Provider NameJohn Judd
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598195521
PECOS PAC ID: 9133423528
Enrollment ID: I20160204001806
Provider NameEmmanuel Begon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568829810
PECOS PAC ID: 9234434622
Enrollment ID: I20160223001374
Provider NameJeffrey Hering
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114380649
PECOS PAC ID: 3971801341
Enrollment ID: I20160419000522
Provider NameJustine Beauchamp
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407211840
PECOS PAC ID: 0547568701
Enrollment ID: I20160421000679
Provider NameSharon Godbout
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942667936
PECOS PAC ID: 1456650076
Enrollment ID: I20160504000518
Provider NameLauren C Blair
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710148374
PECOS PAC ID: 3375601842
Enrollment ID: I20160624001338
Provider NameOlabisi Alihu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083065833
PECOS PAC ID: 7113212341
Enrollment ID: I20160826000197
Provider NameNicholas Kovacev
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992259394
PECOS PAC ID: 2062709991
Enrollment ID: I20160921000849
Provider NameJocelyn Mach
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689008096
PECOS PAC ID: 3375830185
Enrollment ID: I20160922000511
Provider NameElise Frey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710431184
PECOS PAC ID: 5890082549
Enrollment ID: I20160922002050
Provider NameChristopher J Wilcox
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699229443
PECOS PAC ID: 5496042046
Enrollment ID: I20160926000075
Provider NameSamantha Fisk
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740674209
PECOS PAC ID: 2567759962
Enrollment ID: I20160929000157
Provider NameAlexandria Devoid
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639324106
PECOS PAC ID: 7416010145
Enrollment ID: I20161005000570
Provider NameBenjamin Jacob Rose
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356894653
PECOS PAC ID: 6507154614
Enrollment ID: I20161005001312
Provider NameErin E Lothian
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134676455
PECOS PAC ID: 2860780871
Enrollment ID: I20161006001887
Provider NameColleen Davis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477007870
PECOS PAC ID: 6709174592
Enrollment ID: I20161011001666
Provider NameJoshua Doty
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1306171269
PECOS PAC ID: 1850679846
Enrollment ID: I20161026000821
Provider NameKatelyn Morse
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518411917
PECOS PAC ID: 2668750449
Enrollment ID: I20161028001857
Provider NameRachael Toppi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578012837
PECOS PAC ID: 0345528758
Enrollment ID: I20161104000960
Provider NameErica Lee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417401159
PECOS PAC ID: 5395024715
Enrollment ID: I20161108000327
Provider NameKaila Birchall
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306390794
PECOS PAC ID: 6406135987
Enrollment ID: I20161128002364
Provider NameMolly A Eldridge
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760924476
PECOS PAC ID: 9436439783
Enrollment ID: I20161205000161
Provider NameLinda Annan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093257818
PECOS PAC ID: 2264712496
Enrollment ID: I20161206000826
Provider NamePatricia Pangaio
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942742358
PECOS PAC ID: 4385924174
Enrollment ID: I20161214000314
Provider NameKelsey Heston
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1558804039
PECOS PAC ID: 2961783535
Enrollment ID: I20161220001310
Provider NameJulia Kajen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104282466
PECOS PAC ID: 6901187731
Enrollment ID: I20170110000337
Provider NameJordan Beguerie
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538618681
PECOS PAC ID: 4981986205
Enrollment ID: I20170123000919
Provider NameKristen Paul
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851615827
PECOS PAC ID: 8729361266
Enrollment ID: I20170208001130
Provider NameJaime Ellen Goss
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164642187
PECOS PAC ID: 4183662471
Enrollment ID: I20170223002403
Provider NameDavid Tran
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1689122756
PECOS PAC ID: 1456635192
Enrollment ID: I20170224001865
Provider NameOlivia Lufkin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851830822
PECOS PAC ID: 8426333998
Enrollment ID: I20170323002215
Provider NameOlga Gelina
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992238232
PECOS PAC ID: 0941587158
Enrollment ID: I20170425002579
Provider NameMatthew D Kraft
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922532282
PECOS PAC ID: 4688941347
Enrollment ID: I20170531000307
Provider NameCaitlin Leary
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619419199
PECOS PAC ID: 3971875105
Enrollment ID: I20170822003130
Provider NameScott R Hamel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548785892
PECOS PAC ID: 2264704303
Enrollment ID: I20170823004162
Provider NameAnna Sidloski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629593959
PECOS PAC ID: 2860764941
Enrollment ID: I20170824001039
Provider NameChelsea Aaron
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558886119
PECOS PAC ID: 4587937289
Enrollment ID: I20170831000817
Provider NameStephen A Harris
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922523364
PECOS PAC ID: 9537432273
Enrollment ID: I20170831002421
Provider NameVictoria R Etzel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477070332
PECOS PAC ID: 3375816911
Enrollment ID: I20170905000164
Provider NameGennessa Spang-hansen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306362702
PECOS PAC ID: 7517230162
Enrollment ID: I20170905000296
Provider NameSamuel Frommelt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689199465
PECOS PAC ID: 4981977196
Enrollment ID: I20170911002060
Provider NameMichael F Maloney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891213344
PECOS PAC ID: 0547534307
Enrollment ID: I20170919000653
Provider NameElizabeth Flood
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114442027
PECOS PAC ID: 6406120039
Enrollment ID: I20170921000066
Provider NameJack Long
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861918534
PECOS PAC ID: 8224302666
Enrollment ID: I20170922001890
Provider NameStephanie Lee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386169282
PECOS PAC ID: 2668746025
Enrollment ID: I20170922003012
Provider NameKristen Caggiano
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336665041
PECOS PAC ID: 7012281488
Enrollment ID: I20170922003102
Provider NameMichelle J Meunier
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457860207
PECOS PAC ID: 0042585911
Enrollment ID: I20171003003942
Provider NameChristopher W Collins
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902321409
PECOS PAC ID: 7911273461
Enrollment ID: I20171027000676
Provider NameBrianna Holmes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245749068
PECOS PAC ID: 9032485362
Enrollment ID: I20171031003400
Provider NameAnne Sinclair
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043739923
PECOS PAC ID: 4183980469
Enrollment ID: I20171102003393
Provider NameSarah Saffee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962913079
PECOS PAC ID: 8325304835
Enrollment ID: I20171115002450
Provider NameRachel L. Brown
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093226672
PECOS PAC ID: 2163788597
Enrollment ID: I20171117000571
Provider NameErin Dewey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275044562
PECOS PAC ID: 9537426275
Enrollment ID: I20171205000878
Provider NameSarah Goldstein
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174036883
PECOS PAC ID: 9931467453
Enrollment ID: I20171211001138
Provider NameMatthew Donovan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134633878
PECOS PAC ID: 4981962586
Enrollment ID: I20180102001568
Provider NameConor M Lyons
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346766896
PECOS PAC ID: 3173882412
Enrollment ID: I20180113000064
Provider NameHetal Bhimjiani
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811311012
PECOS PAC ID: 5092074344
Enrollment ID: I20180115000316
Provider NameMatthew Lough
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265958938
PECOS PAC ID: 5597024497
Enrollment ID: I20180123001562
Provider NameMichael Patrick Crowley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1366960981
PECOS PAC ID: 9234498064
Enrollment ID: I20180124000012
Provider NameTimothy J Kistler
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1043366347
PECOS PAC ID: 2466402839
Enrollment ID: I20180308001489
Provider NameJennyfer Franca
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1104327170
PECOS PAC ID: 5597027375
Enrollment ID: I20180314000546
Provider NameElissa Marie Goetze
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043746100
PECOS PAC ID: 6406119056
Enrollment ID: I20180412000006
Provider NameCurtis Kaye
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992298566
PECOS PAC ID: 2365797032
Enrollment ID: I20180620002527
Provider NameIsabella Maria Trichilo
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1841685344
PECOS PAC ID: 6800144239
Enrollment ID: I20180801002616
Provider NameTimothy Mchale
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609355411
PECOS PAC ID: 6507115730
Enrollment ID: I20180822000834
Provider NameJordan Scott Metcalf
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104311208
PECOS PAC ID: 3971852021
Enrollment ID: I20180822002020
Provider NameErin Chenette
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003395807
PECOS PAC ID: 6103175252
Enrollment ID: I20180822002230
Provider NameJoseph Hoffman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386124600
PECOS PAC ID: 4880943943
Enrollment ID: I20180822002455
Provider NameMeghan Eckel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376023887
PECOS PAC ID: 2567711633
Enrollment ID: I20180822002659
Provider NameNatalie Larsen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386123487
PECOS PAC ID: 9931458015
Enrollment ID: I20180822003093
Provider NameAlyssa Marie Ineson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518459791
PECOS PAC ID: 9133478225
Enrollment ID: I20180822003554
Provider NameJared Patrick Winston
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073093951
PECOS PAC ID: 1254681919
Enrollment ID: I20180830002484
Provider NameCara C Davis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588696934
PECOS PAC ID: 8820018781
Enrollment ID: I20180907002166
Provider NameDolan Jacobs
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811478456
PECOS PAC ID: 5092065094
Enrollment ID: I20180913000510
Provider NameEric Mentzer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467934307
PECOS PAC ID: 9537410410
Enrollment ID: I20180918000567
Provider NameLauren E Lapierre
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316459571
PECOS PAC ID: 5193076776
Enrollment ID: I20180920001021
Provider NameChristopher James Johnson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376023069
PECOS PAC ID: 2163773581
Enrollment ID: I20180925001793
Provider NameCamden Marcotte
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003395070
PECOS PAC ID: 3779834841
Enrollment ID: I20180928001935
Provider NameJoshua Swain
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255812871
PECOS PAC ID: 0941552830
Enrollment ID: I20181003002576
Provider NameMary Kathryn Grace
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679055214
PECOS PAC ID: 1759633449
Enrollment ID: I20181008002062
Provider NameAndrew Perreault
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548423528
PECOS PAC ID: 1658446760
Enrollment ID: I20181022002263
Provider NameEmily Clipston
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194290536
PECOS PAC ID: 5698028447
Enrollment ID: I20181025001099
Provider NameKimberly Michaud
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992243489
PECOS PAC ID: 0840576005
Enrollment ID: I20181107001847
Provider NameLindsey M O Neil
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629546494
PECOS PAC ID: 4082968862
Enrollment ID: I20181114000793
Provider NameTimothy Curcio
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346718160
PECOS PAC ID: 2860746583
Enrollment ID: I20181116000134
Provider NameKeri N Turmenne
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093284184
PECOS PAC ID: 4789938093
Enrollment ID: I20181126000785
Provider NameBrandon Desouza
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962973032
PECOS PAC ID: 2769727478
Enrollment ID: I20181228001198
Provider NameAlexandra Gustafson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295208767
PECOS PAC ID: 4688910573
Enrollment ID: I20190114003154
Provider NameVidhi J Radia
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457816639
PECOS PAC ID: 2769720192
Enrollment ID: I20190211001691
Provider NameMichael Riccardi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396135505
PECOS PAC ID: 7517226079
Enrollment ID: I20190218002378
Provider NameAllison Nicole Lamb
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134604531
PECOS PAC ID: 5294073094
Enrollment ID: I20190220000901
Provider NameJamie M Davis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225594773
PECOS PAC ID: 0749520468
Enrollment ID: I20190315001988
Provider NameKristin Olsson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881150332
PECOS PAC ID: 5294075727
Enrollment ID: I20190320002193
Provider NamePeter M Mykut
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093260473
PECOS PAC ID: 6002103546
Enrollment ID: I20190327002238
Provider NameHayley Perron
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639638281
PECOS PAC ID: 8325389216
Enrollment ID: I20190402001379
Provider NameCarolyn Bertelson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134689441
PECOS PAC ID: 0042551996
Enrollment ID: I20190403000875
Provider NameAlexandra L Sibert
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1902365315
PECOS PAC ID: 9638410111
Enrollment ID: I20190410001137
Provider NameJustine Veloza
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326322074
PECOS PAC ID: 8022260199
Enrollment ID: I20190618003358
Provider NameEmily M Smith
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104481472
PECOS PAC ID: 8628302098
Enrollment ID: I20190619002123
Provider NameShelagh Brice
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639724453
PECOS PAC ID: 1658609268
Enrollment ID: I20190821000050
Provider NamePeter Kelly
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396390118
PECOS PAC ID: 8628306032
Enrollment ID: I20190822004204
Provider NameNicole Yorra
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598310310
PECOS PAC ID: 0941538276
Enrollment ID: I20190826000684
Provider NameLydia D Anderson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609381979
PECOS PAC ID: 4486913118
Enrollment ID: I20190903002356
Provider NameAlec Ceccon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609424316
PECOS PAC ID: 8628307303
Enrollment ID: I20190905000538
Provider NameChristopher Carreiro
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306494943
PECOS PAC ID: 9032448733
Enrollment ID: I20190905001665
Provider NameKaitlyn Doucakis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528616869
PECOS PAC ID: 0345579066
Enrollment ID: I20190905002401
Provider NameAshley Debarros
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912555616
PECOS PAC ID: 9234468976
Enrollment ID: I20190905003052
Provider NameStacey Sousa
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861040040
PECOS PAC ID: 2567791221
Enrollment ID: I20190906000527
Provider NameKendall Percich
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740838929
PECOS PAC ID: 1052640612
Enrollment ID: I20190906000754
Provider NameRose Sievewright
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548818727
PECOS PAC ID: 2769711324
Enrollment ID: I20190906000841
Provider NameAndrew Scalera
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609424886
PECOS PAC ID: 1355670936
Enrollment ID: I20190906001378
Provider NameMarissa Leoni
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902454259
PECOS PAC ID: 4789913377
Enrollment ID: I20190906001985
Provider NameDaniel Pothier
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427604503
PECOS PAC ID: 7315276953
Enrollment ID: I20190909000158
Provider NameMegan Urick
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396262416
PECOS PAC ID: 2163751702
Enrollment ID: I20190909000457
Provider NameAdam Urick
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912424037
PECOS PAC ID: 4284970369
Enrollment ID: I20190909002120
Provider NameAndrew Murray
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568011328
PECOS PAC ID: 1658600911
Enrollment ID: I20190911002243
Provider NameWilliam Klunk
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235786468
PECOS PAC ID: 2860721081
Enrollment ID: I20190912001215
Provider NameBrittany Lynn O'dea
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346899713
PECOS PAC ID: 6901135136
Enrollment ID: I20190912001553
Provider NameHaley Carpenter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700432226
PECOS PAC ID: 9335478510
Enrollment ID: I20190913000405
Provider NameMargaret Frederiksen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619402708
PECOS PAC ID: 2769712546
Enrollment ID: I20190920000734
Provider NameMelissa Buitkus
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104474691
PECOS PAC ID: 2163752924
Enrollment ID: I20190923000859
Provider NameLily Jilk
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467000984
PECOS PAC ID: 6103156963
Enrollment ID: I20190923001059
Provider NameAlexandra Windwer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447808886
PECOS PAC ID: 5496085185
Enrollment ID: I20190923002942
Provider NameNicholas Kupchaunis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053961326
PECOS PAC ID: 9335479872
Enrollment ID: I20190925002121
Provider NameJonathan Elcock
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285281592
PECOS PAC ID: 0143550657
Enrollment ID: I20190926000939
Provider NameRyant Lee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659922177
PECOS PAC ID: 6204167364
Enrollment ID: I20191004000329
Provider NameOlusegun A Buraimoh
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1255987137
PECOS PAC ID: 1951632991
Enrollment ID: I20191007000582
Provider NameNathaniel Ripic
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437791340
PECOS PAC ID: 4082945290
Enrollment ID: I20191018000763
Provider NameDylan Dyer
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1972144780
PECOS PAC ID: 5890027932
Enrollment ID: I20191023000813
Provider NameKatherine Crowe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801446158
PECOS PAC ID: 4981936929
Enrollment ID: I20191024002058
Provider NameCara Gaziano
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144864828
PECOS PAC ID: 8628400801
Enrollment ID: I20191108000066
Provider NameChristopher Fields
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528601507
PECOS PAC ID: 6901238856
Enrollment ID: I20191114000277
Provider NameFrancis Gilson
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1205818184
PECOS PAC ID: 6608808316
Enrollment ID: I20191126001765
Provider NameColin Ziegenbein
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427567536
PECOS PAC ID: 1658614664
Enrollment ID: I20191227001215
Provider NameMaria A Commisso
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275163693
PECOS PAC ID: 0547696197
Enrollment ID: I20200130001876
Provider NameScott Robert Durdin
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1780216382
PECOS PAC ID: 2365879459
Enrollment ID: I20200302002573
Provider NameJennifer R Lomonte
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760015747
PECOS PAC ID: 3375970338
Enrollment ID: I20200304000270
Provider NameJessie M Maniscalco
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861902363
PECOS PAC ID: 1456772672
Enrollment ID: I20200526001945
Provider NameMaya Betz-otero
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326665894
PECOS PAC ID: 9032532874
Enrollment ID: I20200713000505
Provider NameKara Mccormick
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104474543
PECOS PAC ID: 0941623730
Enrollment ID: I20200713002003
Provider NameBritni Barber
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255892246
PECOS PAC ID: 1658613658
Enrollment ID: I20200717000845
Provider NameLinda Ream
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013541796
PECOS PAC ID: 8820414477
Enrollment ID: I20200813002285
Provider NameKerry Paraskevoudis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841801214
PECOS PAC ID: 5294151411
Enrollment ID: I20200819001218
Provider NameKeelin Mcsweeney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508477993
PECOS PAC ID: 5597181636
Enrollment ID: I20200819002407
Provider NameJoshua Kilmonis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962013490
PECOS PAC ID: 4880010800
Enrollment ID: I20200820001251
Provider NameJohn Dixon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295346567
PECOS PAC ID: 1254757172
Enrollment ID: I20200821001361
Provider NameHannah Mueller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396356770
PECOS PAC ID: 4789000670
Enrollment ID: I20200824000769
Provider NameBriana Crowley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003427071
PECOS PAC ID: 0244657609
Enrollment ID: I20200831001144
Provider NameBrian Fallon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134739667
PECOS PAC ID: 9032536370
Enrollment ID: I20200901000914
Provider NameRachel Wadkins
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013528082
PECOS PAC ID: 8527485895
Enrollment ID: I20200901001800
Provider NameKatherine Guillotte
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700436771
PECOS PAC ID: 8628495876
Enrollment ID: I20200902001030
Provider NameMegan Raymond
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144697244
PECOS PAC ID: 0446551758
Enrollment ID: I20200908002747
Provider NameDavid Coughlin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598376527
PECOS PAC ID: 9436577103
Enrollment ID: I20200911001115
Provider NameKelsey R Kneeland
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003429473
PECOS PAC ID: 0244658979
Enrollment ID: I20200914000395
Provider NameAlex Papanastassiou
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629680400
PECOS PAC ID: 8123446747
Enrollment ID: I20200915000380
Provider NameLucas S Parsons
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568074086
PECOS PAC ID: 2466870522
Enrollment ID: I20200922001870
Provider NameSamantha Sarkisian
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043823149
PECOS PAC ID: 4183043177
Enrollment ID: I20200924000566
Provider NameJoshua Caouette
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265045207
PECOS PAC ID: 7911326764
Enrollment ID: I20200929001881
Provider NameSavannah Redston
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831704832
PECOS PAC ID: 3870912249
Enrollment ID: I20201005000821
Provider NameKristi Sarnecki
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760096309
PECOS PAC ID: 0840610697
Enrollment ID: I20201015001991
Provider NameEvelio Perez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518424522
PECOS PAC ID: 7719227461
Enrollment ID: I20201021000178
Provider NameTejasvi Pawar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649879917
PECOS PAC ID: 6002236395
Enrollment ID: I20201027001321
Provider NameElyse Kite
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700499498
PECOS PAC ID: 5092135384
Enrollment ID: I20201027001349
Provider NameBriana Shepherd
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942852611
PECOS PAC ID: 9133539422
Enrollment ID: I20201027001586
Provider NameKatherine Chlus
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174122410
PECOS PAC ID: 4688084973
Enrollment ID: I20201027001589
Provider NameEvan Daniel Healy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982195541
PECOS PAC ID: 1557771854
Enrollment ID: I20201027002287
Provider NameAshton Macfarlane
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447866595
PECOS PAC ID: 0840600805
Enrollment ID: I20201102001952
Provider NameAudrey Schmidt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508473505
PECOS PAC ID: 5597175448
Enrollment ID: I20201103002872
Provider NameBrady Flynn
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861048712
PECOS PAC ID: 5395073175
Enrollment ID: I20201106000607
Provider NameBryan Dye
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235486820
PECOS PAC ID: 5698922516
Enrollment ID: I20201107000060
Provider NameCaroline Stark
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568060267
PECOS PAC ID: 7315357936
Enrollment ID: I20201110000167
Provider NameGrace Yong Mccormick
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104427103
PECOS PAC ID: 6204246853
Enrollment ID: I20201110001932
Provider NameJolene Potter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215538269
PECOS PAC ID: 1355751967
Enrollment ID: I20201111001199
Provider NameMatthew Manzella
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962009399
PECOS PAC ID: 1456761865
Enrollment ID: I20201112002793
Provider NameAlexis Kindig
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639771322
PECOS PAC ID: 5597176735
Enrollment ID: I20201119002105
Provider NameAshley N Freire
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528661881
PECOS PAC ID: 9234540279
Enrollment ID: I20201124001731
Provider NameJacob Bedard
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508469966
PECOS PAC ID: 7113338054
Enrollment ID: I20201124002398
Provider NameKelly Duffy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861094252
PECOS PAC ID: 6406267384
Enrollment ID: I20201125000734
Provider NameElizabeth L Mckeon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154924645
PECOS PAC ID: 5890106728
Enrollment ID: I20201127000120
Provider NameHeather Baeta
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750936837
PECOS PAC ID: 2466863212
Enrollment ID: I20201130000874
Provider NameKelsey Hanahan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538760913
PECOS PAC ID: 7315358108
Enrollment ID: I20201130002315
Provider NameJenna Corkery
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518569763
PECOS PAC ID: 9133530728
Enrollment ID: I20201203001433
Provider NameAlexander Degann
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1174928535
PECOS PAC ID: 8527381888
Enrollment ID: I20201209001951
Provider NameTonya Dacko
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1932641636
PECOS PAC ID: 2860777042
Enrollment ID: I20201210001330
Provider NameJeremy Lichtman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073137287
PECOS PAC ID: 9931511953
Enrollment ID: I20201216002119
Provider NameKayla Sanborn
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558967273
PECOS PAC ID: 8729490594
Enrollment ID: I20201221000069
Provider NameDarren Chew
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073118717
PECOS PAC ID: 9638581283
Enrollment ID: I20201223002234
Provider NameAnjali J Shah
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992392799
PECOS PAC ID: 8022421346
Enrollment ID: I20210106000467
Provider NameRyan Kim
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215524632
PECOS PAC ID: 7416360748
Enrollment ID: I20210106000786
Provider NameJordan Beth Maeda
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689191694
PECOS PAC ID: 5294001855
Enrollment ID: I20210106000989
Provider NameJane Pardo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689262354
PECOS PAC ID: 9133532955
Enrollment ID: I20210114002856
Provider NameTyler Webb
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134775588
PECOS PAC ID: 0446581193
Enrollment ID: I20210126002377
Provider NameBinita Patel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689264269
PECOS PAC ID: 1951715390
Enrollment ID: I20210127000501
Provider NameRafael Weidenfeld
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033689104
PECOS PAC ID: 4880009364
Enrollment ID: I20210226001640
Provider NameFrancis Andrew Covino
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750974846
PECOS PAC ID: 4385050244
Enrollment ID: I20210302000321
Provider NameEmily Ciruolo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952994998
PECOS PAC ID: 5092121830
Enrollment ID: I20210303000586
Provider NameAngelica Joyce Castaneda
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033662077
PECOS PAC ID: 7012323678
Enrollment ID: I20210304002589
Provider NameRebecca Leigh Fall
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417542069
PECOS PAC ID: 1153737432
Enrollment ID: I20210311000708
Provider NameJulie Mccarthy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407441983
PECOS PAC ID: 9234545203
Enrollment ID: I20210317001458
Provider NameNicole Hayner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639754146
PECOS PAC ID: 4789091711
Enrollment ID: I20210318001436
Provider NameAmber Dunford
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1467074559
PECOS PAC ID: 3274955869
Enrollment ID: I20210324000221
Provider NameJennifer E Swanson
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1144807074
PECOS PAC ID: 9335556570
Enrollment ID: I20210406000166
Provider NameJulio E Cruz
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1265019509
PECOS PAC ID: 9537576731
Enrollment ID: I20210407000234
Provider NameJenessa C Murphy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255452967
PECOS PAC ID: 6002224557
Enrollment ID: I20210421001763
Provider NameDonna M Casey Snow
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952981094
PECOS PAC ID: 8921416215
Enrollment ID: I20210427001084
Provider NameJennifer Schlageter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134793185
PECOS PAC ID: 1254730542
Enrollment ID: I20210518001600
Provider NameJeffrey Haffemann
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093231656
PECOS PAC ID: 2567728389
Enrollment ID: I20210524001082
Provider NameCami Lee Cleaveland
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1831792027
PECOS PAC ID: 8022418128
Enrollment ID: I20210610002771
Provider NameVictoria Elizabeth Newbury
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770078222
PECOS PAC ID: 4688001605
Enrollment ID: I20210615002627
Provider NameEmma Dwyer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912526393
PECOS PAC ID: 8527468313
Enrollment ID: I20210616001062
Provider NameLeslie Collins
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144897992
PECOS PAC ID: 3173923836
Enrollment ID: I20210617000222
Provider NameSerian Cara Williams
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578131165
PECOS PAC ID: 3173923851
Enrollment ID: I20210617000970
Provider NameMichael A Chapman
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1669046249
PECOS PAC ID: 9032519624
Enrollment ID: I20210618001677
Provider NameBrittany M Rocca
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801410055
PECOS PAC ID: 1052713286
Enrollment ID: I20210712001021
Provider NameKayla Elizabeth Lombardo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306418488
PECOS PAC ID: 6901209196
Enrollment ID: I20210726002569
Provider NameMichael Paquette
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1932776879
PECOS PAC ID: 8224432943
Enrollment ID: I20210803001763
Provider NameLaura Reichard
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851813083
PECOS PAC ID: 2062785348
Enrollment ID: I20210812000979
Provider NameHaley Kathleen Bogue
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154993228
PECOS PAC ID: 1850795733
Enrollment ID: I20210816000130
Provider NameJace Vansteenburg
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1972142099
PECOS PAC ID: 7315374683
Enrollment ID: I20210816002024
Provider NameBridget M Hughes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477227932
PECOS PAC ID: 3476958885
Enrollment ID: I20210824001129
Provider NameAnders Elle Broussard
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750057360
PECOS PAC ID: 3476958562
Enrollment ID: I20210827001877
Provider NameAugustine John Lewis
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1457025868
PECOS PAC ID: 5294131223
Enrollment ID: I20210831000789
Provider NameAmanda C Chan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629745161
PECOS PAC ID: 2365848249
Enrollment ID: I20210831003441
Provider NameLynne Gollands
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720753635
PECOS PAC ID: 7810393741
Enrollment ID: I20210901001337
Provider NameCiara P Forde
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780351668
PECOS PAC ID: 2567868367
Enrollment ID: I20210902000355
Provider NameDanielle S Levine
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902573678
PECOS PAC ID: 3971909730
Enrollment ID: I20210902002810
Provider NameTaylor L Field
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275201915
PECOS PAC ID: 3779989462
Enrollment ID: I20210903001281
Provider NameJohn Toovy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316615800
PECOS PAC ID: 2860898343
Enrollment ID: I20210908003591
Provider NameMegan Wu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861160111
PECOS PAC ID: 3971909300
Enrollment ID: I20210909001523
Provider NameAlexander Joseph Bruskin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396413605
PECOS PAC ID: 9436555877
Enrollment ID: I20210909001954
Provider NameJason Tan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023786019
PECOS PAC ID: 4082010483
Enrollment ID: I20210910000629
Provider NameJesse Tilden Greenslade
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780352641
PECOS PAC ID: 5496151714
Enrollment ID: I20210910001702
Provider NameKathleen C Sheehan
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1578231304
PECOS PAC ID: 3375949696
Enrollment ID: I20210910001847
Provider NameOluwadara Faleye
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780351239
PECOS PAC ID: 0143627943
Enrollment ID: I20210921003115
Provider NameAngela Valerie Francis
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1265003388
PECOS PAC ID: 1355748005
Enrollment ID: I20210922001281
Provider NameDaniela Lindemeyer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447928015
PECOS PAC ID: 7911304639
Enrollment ID: I20210923000694
Provider NameAimee Lynn Malboeuf
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225708258
PECOS PAC ID: 9739586264
Enrollment ID: I20210924002456
Provider NameMariam Doss
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477223279
PECOS PAC ID: 7012314404
Enrollment ID: I20210928001945
Provider NameDeborah Rose Chesser
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740950476
PECOS PAC ID: 6103223599
Enrollment ID: I20210928002019
Provider NamePriscilla Martinez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083382287
PECOS PAC ID: 9931507951
Enrollment ID: I20211006000142
Provider NameMick Sudol
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255802898
PECOS PAC ID: 0648516161
Enrollment ID: I20211006000180
Provider NameAnamaria Musterer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205504974
PECOS PAC ID: 6305244971
Enrollment ID: I20211012002544
Provider NameReema Patel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386202703
PECOS PAC ID: 3577899194
Enrollment ID: I20211013003247
Provider NameKevin Myren
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487321469
PECOS PAC ID: 6305244740
Enrollment ID: I20211014003072
Provider NameJoseph Fraser Gilmore
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1093941338
PECOS PAC ID: 5193113298
Enrollment ID: I20211021002743
Provider NameJoshua C Lee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124782693
PECOS PAC ID: 2466840848
Enrollment ID: I20211104001506
Provider NameSamuel Caretti
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013673599
PECOS PAC ID: 9638568579
Enrollment ID: I20211115000762
Provider NameRamsey Khudairi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538825013
PECOS PAC ID: 1850780719
Enrollment ID: I20211115001465
Provider NameKasey Mayer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417539461
PECOS PAC ID: 7113317538
Enrollment ID: I20211129001490
Provider NameEthan Harpel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699432583
PECOS PAC ID: 8426448630
Enrollment ID: I20211202001043
Provider NameDustin Paul Wilson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033876925
PECOS PAC ID: 8628468840
Enrollment ID: I20211202001395
Provider NameKatherine Evans
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902563760
PECOS PAC ID: 1658761721
Enrollment ID: I20211203000742
Provider NameJill Celia Simon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851058622
PECOS PAC ID: 9830589910
Enrollment ID: I20211203000801
Provider NameMinerva B Wasserman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871250258
PECOS PAC ID: 7911397641
Enrollment ID: I20211210001958
Provider NameJessica Marie Taylor
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932684370
PECOS PAC ID: 5597156034
Enrollment ID: I20211217000127
Provider NameShaye Rose Nelson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780197004
PECOS PAC ID: 1052702404
Enrollment ID: I20211220001885
Provider NameSarah Kenyon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841957743
PECOS PAC ID: 6406247659
Enrollment ID: I20211222001225
Provider NameMoira S Vayda
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194487124
PECOS PAC ID: 8921499021
Enrollment ID: I20211228001743
Provider NameShana Cahill
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932862471
PECOS PAC ID: 5395136386
Enrollment ID: I20211230000742
Provider NameJacqueline Lee Hansen
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1649930116
PECOS PAC ID: 0143611053
Enrollment ID: I20220104001983
Provider NameTimothy R Hinds
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1518612944
PECOS PAC ID: 6204220171
Enrollment ID: I20220219000018
Provider NameGeorgia Ivsin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316693062
PECOS PAC ID: 8527452549
Enrollment ID: I20220308000850
Provider NameBrandon Scott Ho
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467111633
PECOS PAC ID: 5597150201
Enrollment ID: I20220316001202
Provider NameElaina Manolis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114390978
PECOS PAC ID: 5698162634
Enrollment ID: I20220421002377
Provider NameThomas Edward Lombardo
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1639824030
PECOS PAC ID: 6002203676
Enrollment ID: I20220428002421
Provider NameLuke J Bellone
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063159739
PECOS PAC ID: 6709263288
Enrollment ID: I20220523002128
Provider NameLauren E Cruz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982342721
PECOS PAC ID: 2264810498
Enrollment ID: I20220531002573
Provider NameMeghan L Methe
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1104563279
PECOS PAC ID: 7911385166
Enrollment ID: I20220601000371
Provider NameDenise A Bernard
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316137979
PECOS PAC ID: 8224416185
Enrollment ID: I20220606000145
Provider NameRachel Meilun
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1336878149
PECOS PAC ID: 8729467824
Enrollment ID: I20220621000942
Provider NameSpencer Hackett
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1750014114
PECOS PAC ID: 4981085016
Enrollment ID: I20220720001010
Provider NameSonu Hitesh Gandhi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073095345
PECOS PAC ID: 6608257407
Enrollment ID: I20220725001506
Provider NameMagaly Rojas
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1518627892
PECOS PAC ID: 5092197566
Enrollment ID: I20220729002325
Provider NameKayla Pinzur
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104544998
PECOS PAC ID: 1153705595
Enrollment ID: I20220901003414
Provider NameIsabella Goddard
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043938913
PECOS PAC ID: 6406230788
Enrollment ID: I20220906001598
Provider NameCarly Natalie Jones
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992423081
PECOS PAC ID: 6002290384
Enrollment ID: I20220906001761
Provider NameNicholas Kenneth Oliveira
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730807629
PECOS PAC ID: 4981088291
Enrollment ID: I20220906002946
Provider NameNestor Canenguez Soto
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427776368
PECOS PAC ID: 7012392046
Enrollment ID: I20220912002886
Provider NameEmilie Adams
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1871211763
PECOS PAC ID: 6507241429
Enrollment ID: I20220913003656
Provider NameMadalyn Curran
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033838594
PECOS PAC ID: 8224413067
Enrollment ID: I20220915001192
Provider NameKaitlyn Roseberry
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689392292
PECOS PAC ID: 3173908811
Enrollment ID: I20220916002198
Provider NameJulie Mcnabb
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265152078
PECOS PAC ID: 8820473283
Enrollment ID: I20220921001071
Provider NameRyan Dube
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861131195
PECOS PAC ID: 4284019670
Enrollment ID: I20220921002606
Provider NameJillian O'connell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306566385
PECOS PAC ID: 3870978190
Enrollment ID: I20220922000204
Provider NameWing Lim Gary Liu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932820529
PECOS PAC ID: 8628454378
Enrollment ID: I20221003002442
Provider NameChase Gentilhomme
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497489306
PECOS PAC ID: 4688056575
Enrollment ID: I20221003002572
Provider NameEktaben Miteshkumar Chauhan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538678388
PECOS PAC ID: 3072989276
Enrollment ID: I20221012003505
Provider NameKyle Cangemi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134842628
PECOS PAC ID: 2769858802
Enrollment ID: I20221014001621
Provider NameSean Baker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528581204
PECOS PAC ID: 2466795372
Enrollment ID: I20221018000688
Provider NameChullainn F Kelly
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1508413535
PECOS PAC ID: 3173990371
Enrollment ID: I20221101000566
Provider NameJennifer Labita
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1366101008
PECOS PAC ID: 2466844857
Enrollment ID: I20221107003380
Provider NameMelissa Irene Fischer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538646476
PECOS PAC ID: 8820465602
Enrollment ID: I20221108001359
Provider NameLawrence William Sanchez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306568225
PECOS PAC ID: 3476920273
Enrollment ID: I20221108002279
Provider NameKatherine E Cohen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396339511
PECOS PAC ID: 7315336252
Enrollment ID: I20221109001909
Provider NameLauren Marie Perez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528736790
PECOS PAC ID: 0345617015
Enrollment ID: I20221109001953
Provider NameEmilie Adams
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871211763
PECOS PAC ID: 6507241429
Enrollment ID: I20221206001826
Provider NameKelsey Lin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639776016
PECOS PAC ID: 9638548100
Enrollment ID: I20221206002268
Provider NameKathleen Hamilton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497214019
PECOS PAC ID: 0941679310
Enrollment ID: I20221206002584
Provider NameJemimah Johnson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417665076
PECOS PAC ID: 5496124711
Enrollment ID: I20221208001850
Provider NameMegan Gendron
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962110460
PECOS PAC ID: 3577933209
Enrollment ID: I20221221001350
Provider NameCourtney Cameron
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699493536
PECOS PAC ID: 1951785112
Enrollment ID: I20230111000793
Provider NameMaxime Giesen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831801364
PECOS PAC ID: 9830560598
Enrollment ID: I20230118000081
Provider NameDarshi Malkan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083012553
PECOS PAC ID: 7719358183
Enrollment ID: I20230123000177
Provider NameKai Winden
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518695402
PECOS PAC ID: 5991173262
Enrollment ID: I20230125002179
Provider NameBrittany Jansen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679289607
PECOS PAC ID: 5092187401
Enrollment ID: I20230213001988
Provider NameMaxwell Joseph Collins
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104307610
PECOS PAC ID: 6800125220
Enrollment ID: I20230216000064
Provider NameNathan Wetzelberg
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558069377
PECOS PAC ID: 2466825161
Enrollment ID: I20230228001313
Provider NameNguyen Thao Nguyen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538867635
PECOS PAC ID: 7810360526
Enrollment ID: I20230228001783
Provider NameChinmayee Bedekar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215685052
PECOS PAC ID: 6103211461
Enrollment ID: I20230301002293
Provider NameMelisa Yapp
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760180541
PECOS PAC ID: 1850764192
Enrollment ID: I20230307001414
Provider NamePramuk Peliyagoda
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538868112
PECOS PAC ID: 5294108437
Enrollment ID: I20230308002437
Provider NameMorgan Rachel Balsam
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639896202
PECOS PAC ID: 4587037734
Enrollment ID: I20230308003266
Provider NameNicholas Pastier
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497418479
PECOS PAC ID: 2163800632
Enrollment ID: I20230315001130
Provider NameNathan Amundsen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760182711
PECOS PAC ID: 5597139469
Enrollment ID: I20230315001837
Provider NameCeline Mende
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699485748
PECOS PAC ID: 6507230430
Enrollment ID: I20230316001006
Provider NameThomas Melanson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750088431
PECOS PAC ID: 6406220151
Enrollment ID: I20230320000897
Provider NameSarah Lewis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023718913
PECOS PAC ID: 3072987734
Enrollment ID: I20230320001185
Provider NameJamie Schneck
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1366024192
PECOS PAC ID: 9739554635
Enrollment ID: I20230406001200
Provider NameDaniel Norman Keller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568186880
PECOS PAC ID: 7214309806
Enrollment ID: I20230517002288
Provider NameKaylie Beeson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700584158
PECOS PAC ID: 2668845231
Enrollment ID: I20230601001810
Provider NameSabrina Beauzile
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558053918
PECOS PAC ID: 2466819560
Enrollment ID: I20230606000054
Provider NameKelly Stiger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861956997
PECOS PAC ID: 9234528308
Enrollment ID: I20230608002221
Provider NameErick Tunell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407544042
PECOS PAC ID: 8820455546
Enrollment ID: I20230612000241
Provider NameJulie Tran
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184336026
PECOS PAC ID: 0749650745
Enrollment ID: I20230613000333
Provider NameStephen Warren
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508550518
PECOS PAC ID: 4789041328
Enrollment ID: I20230613001494
Provider NameApril Einsfeld
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104436344
PECOS PAC ID: 0446631527
Enrollment ID: I20230613002604
Provider NameMarisa Hoffman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1770047219
PECOS PAC ID: 1052770377
Enrollment ID: I20230705002546
Provider NameTaylor A Drayton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528742046
PECOS PAC ID: 5496114670
Enrollment ID: I20230706001774
Provider NameJessica Carlson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740964360
PECOS PAC ID: 0749649580
Enrollment ID: I20230711002536
Provider NameSean Mcelhare
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144997487
PECOS PAC ID: 9032515960
Enrollment ID: I20230712002412
Provider NamePhilip Pause
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396421541
PECOS PAC ID: 5890156616
Enrollment ID: I20230726002659
Provider NameJessica Fare
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811618267
PECOS PAC ID: 5395117014
Enrollment ID: I20230801002697
Provider NameMargaret Jamin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184383655
PECOS PAC ID: 5193186526
Enrollment ID: I20230802001370
Provider NameJennifer Vasiloff
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568132173
PECOS PAC ID: 4082007190
Enrollment ID: I20230804003154
Provider NameJenna Voelker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356855464
PECOS PAC ID: 9537521497
Enrollment ID: I20230810000120
Provider NameSarah Barakat
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629735337
PECOS PAC ID: 2163812926
Enrollment ID: I20230821000224
Provider NameEmma Metzger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093498412
PECOS PAC ID: 5799147955
Enrollment ID: I20230821000586
Provider NameMabel Ye
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710660113
PECOS PAC ID: 0042672214
Enrollment ID: I20230821000693
Provider NameCamryn Field
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699558833
PECOS PAC ID: 5496118150
Enrollment ID: I20230828003582
Provider NameAshley Madeiros
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134903263
PECOS PAC ID: 2062875321
Enrollment ID: I20230905000711
Provider NameJoshua Keough
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396529343
PECOS PAC ID: 6305209529
Enrollment ID: I20230905003488
Provider NameAnna Lastra
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679356935
PECOS PAC ID: 6103280888
Enrollment ID: I20230913003334
Provider NameThomas Reynolds
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184400525
PECOS PAC ID: 5991169443
Enrollment ID: I20230915002975
Provider NameSamantha Beauzile
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285419622
PECOS PAC ID: 6002270493
Enrollment ID: I20230919001731
Provider NameMariah Allen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356125231
PECOS PAC ID: 3375997679
Enrollment ID: I20230920001908
Provider NameKaren Pettengill
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1841251618
PECOS PAC ID: 2668385899
Enrollment ID: I20230921003946
Provider NameChristine Ebdlahad
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003552126
PECOS PAC ID: 6204215023
Enrollment ID: I20230922003641
Provider NameVivian Bui
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497531875
PECOS PAC ID: 8224482237
Enrollment ID: I20230925003620
Provider NameXavier Marquez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184691735
PECOS PAC ID: 3577794874
Enrollment ID: I20230926000148
Provider NameJesse Lin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649057480
PECOS PAC ID: 7315391117
Enrollment ID: I20230927003682
Provider NameColby Brown
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124806807
PECOS PAC ID: 8820442502
Enrollment ID: I20230928003191
Provider NameNicholas Rajotte
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548047137
PECOS PAC ID: 0345695771
Enrollment ID: I20231004003743
Provider NameChloe Pelletier
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053190710
PECOS PAC ID: 9830544949
Enrollment ID: I20231010001802
Provider NameKatelyn Mccarthy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194505727
PECOS PAC ID: 8820443542
Enrollment ID: I20231016000962
Provider NameKaty Burdett
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659970614
PECOS PAC ID: 4981085354
Enrollment ID: I20231018002933
Provider NameAlan Wu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457131575
PECOS PAC ID: 2567817034
Enrollment ID: I20231018003419
Provider NameKevin Situ
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306629480
PECOS PAC ID: 8628424876
Enrollment ID: I20231025001430
Provider NameMarcello Panno
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477334795
PECOS PAC ID: 1254787344
Enrollment ID: I20231025003444
Provider NameIgor Khuzeykin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023899192
PECOS PAC ID: 0345696381
Enrollment ID: I20231026001954
Provider NameRachel Wentnick
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679355630
PECOS PAC ID: 8729434790
Enrollment ID: I20231026003480
Provider NameMadeleine Field
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578345419
PECOS PAC ID: 8022464742
Enrollment ID: I20231031003340
Provider NameRiley Marion
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053889279
PECOS PAC ID: 2264889864
Enrollment ID: I20231102003792
Provider NameAnthony Accetturi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407561194
PECOS PAC ID: 8224409305
Enrollment ID: I20231107001159
Provider NameGianfranco Paola
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083486898
PECOS PAC ID: 1254788672
Enrollment ID: I20231107001998
Provider NameMichael White
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396854667
PECOS PAC ID: 5991152985
Enrollment ID: I20231113003332
Provider NameIsabella Sprague
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790455723
PECOS PAC ID: 3870941362
Enrollment ID: I20231121003651
Provider NameNathan Pickett
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1073387510
PECOS PAC ID: 2860840196
Enrollment ID: I20231128001390
Provider NameLauren Tavares
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1831653930
PECOS PAC ID: 5597172817
Enrollment ID: I20231129001710
Provider NameRachel Pontbriant
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952176125
PECOS PAC ID: 6901254028
Enrollment ID: I20231130001827
Provider NameSamantha Gomes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245005024
PECOS PAC ID: 2961850896
Enrollment ID: I20231201002963
Provider NameNghi T Cao
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629844196
PECOS PAC ID: 2769831585
Enrollment ID: I20231205003423
Provider NameJenna Scambia
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518733609
PECOS PAC ID: 3274982889
Enrollment ID: I20231207003351
Provider NameSydney Pandiscio
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578330213
PECOS PAC ID: 6103275474
Enrollment ID: I20231212001632
Provider NameStephanie Rando
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1457128688
PECOS PAC ID: 9335598432
Enrollment ID: I20231214002746
Provider NameKathryne Stowell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710755236
PECOS PAC ID: 6103276845
Enrollment ID: I20231221001656
Provider NamePamela Pradhan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881462307
PECOS PAC ID: 0345690095
Enrollment ID: I20231221002251
Provider NameJordan Nachwalter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245008721
PECOS PAC ID: 4183074750
Enrollment ID: I20231221003102
Provider NameJill Bolger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043086960
PECOS PAC ID: 1254781800
Enrollment ID: I20231222002197
Provider NameRachel Samse
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093583205
PECOS PAC ID: 5294185633
Enrollment ID: I20231227000900
Provider NameSarah Rich
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1194498790
PECOS PAC ID: 0345691978
Enrollment ID: I20240109000900
Provider NameShannen Margaret Wallace
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073233250
PECOS PAC ID: 9436500998
Enrollment ID: I20240109002122
Provider NameJill Bolger
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1043086960
PECOS PAC ID: 1254781800
Enrollment ID: I20240110002582
Provider NameJessica Desouza
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164178398
PECOS PAC ID: 8921493610
Enrollment ID: I20240125003204
Provider NameElla Rockstad
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1730940966
PECOS PAC ID: 2365895166
Enrollment ID: I20240129001604
Provider NameColleen Marie Alfieri
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326166919
PECOS PAC ID: 2567815202
Enrollment ID: I20240129003544
Provider NameRyan Drizen
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1184485237
PECOS PAC ID: 4587007620
Enrollment ID: I20240206002699
Provider NameKaren Bonney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376848531
PECOS PAC ID: 1355784281
Enrollment ID: I20240208000508
Provider NameMeagan Kelley
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1629831540
PECOS PAC ID: 8426492612
Enrollment ID: I20240215001820
Provider NameMegan Ashley Power
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417675984
PECOS PAC ID: 2567806292
Enrollment ID: I20240221000821
Provider NameMatthew Vilme
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952166274
PECOS PAC ID: 5496190605
Enrollment ID: I20240227004518
Provider NameMelissa Tivnan
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1639868730
PECOS PAC ID: 8921443094
Enrollment ID: I20240228002522
Provider NameAnita Phan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891550596
PECOS PAC ID: 7214372051
Enrollment ID: I20240301003526
Provider NameRachel Mace
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114783289
PECOS PAC ID: 1456797901
Enrollment ID: I20240307000762
Provider NameZoe Weisskoff
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184480576
PECOS PAC ID: 7416393889
Enrollment ID: I20240307001562
Provider NameSerena Yenowskas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215793344
PECOS PAC ID: 9638515984
Enrollment ID: I20240309000581
Provider NameBradley Roy Eisenhut
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063278661
PECOS PAC ID: 7618313669
Enrollment ID: I20240312003676

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bay State Physical Therapy Of Randolph Inc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bay State Physical Therapy Of Randolph Inc
703 Granite St Ste 300,
Braintree, MA 02184-5350

Ph: (781) 961-3370
Bay State Physical Therapy Of Randolph Inc
703 Granite St Ste 300,
Braintree, MA 02184-5350

Ph: (781) 961-3370

Reviews and Comments


Physical Therapist in Braintree, MA

Nicole Janine Dubou, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1102 Washington St, Braintree, MA 02184
Phone: 781-848-3100    
Kathleen Terry,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1102 Washington St, Braintree, MA 02184
Phone: 413-265-3971    
Lisa Jean Sandberg, MSPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 222 Forbes Rd, Braintree, MA 02184
Phone: 781-356-7400    
Ms. Stephanie Bono,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 95 Commericial Street, Braintree, MA 02184
Phone: 781-848-3678    
Richard P Kennedy, PTSCS
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 25 Braintree Hill Office Park, Braintree, MA 02184
Phone: 781-848-7300    Fax: 781-848-5678
Mrs. Joy Elaine Waugh Ingraham, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 78 Hancock St, Suite 14, Braintree, MA 02184
Phone: 781-380-4831    
Danielle Pacini,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 501 John Mahar Hwy Ste 301, Braintree, MA 02184
Phone: 781-384-0500    Fax: 781-848-0501

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.