| Puravida In Home Therapy Services, Llc | |
|
16 Converse Circle, East Longmeadow, MA 01028 | |
| (413) 847-1212 | |
| Not Available |
| Full Name | Puravida In Home Therapy Services, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Gerontology |
| Location | 16 Converse Circle, East Longmeadow, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548843469 | NPI | - | NPPES |
| 1083161145 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XG0600X | Occupational Therapist - Gerontology | (* (Not Available)) | Primary |
| 225XH1300X | Occupational Therapist - Human Factors | (* (Not Available)) | Secondary |
| Provider Name | Amy Elizabeth Villalobos |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083161145 PECOS PAC ID: 0648500298 Enrollment ID: I20190924002263 |
| Mailing Address | Practice Location Address |
|---|---|
| Puravida In Home Therapy Services, Llc 16 Converse Circle, East Longmeadow, MA 01028 Ph: (413) 847-1212 | Puravida In Home Therapy Services, Llc 16 Converse Circle, East Longmeadow, MA 01028 Ph: (413) 847-1212 |
Miss Elizabeth Nelligan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 84 E Circle Dr, East Longmeadow, MA 01028 Phone: 413-262-1025 | |
Laura Kallen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 N Main St Ste 10a, East Longmeadow, MA 01028 Phone: 413-273-8203 | |
Lauryn Hehr, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Chestnut St, East Longmeadow, MA 01028 Phone: 413-525-1893 | |
Mrs. Abigel Reyes Limos-athuni, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 Patterson Ave, East Longmeadow, MA 01028 Phone: 917-620-1296 | |
Amy Elizabeth Villalobos, OT/R Occupational Therapist Medicare: Medicare Enrolled Practice Location: 16 Converse Cir, East Longmeadow, MA 01028 Phone: 413-847-1212 | |
Meredith Gagne, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 Maple St, East Longmeadow, MA 01028 Phone: 413-525-6361 | |
Zachary Heller, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 Maple St, East Longmeadow, MA 01028 Phone: 860-302-5929 |