| Drac Pt Inc | |
|
200 Providence Highway, Dedham, MA 02026 | |
| (781) 326-8332 | |
| (781) 326-8262 |
| Full Name | Drac Pt Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 200 Providence Highway, Dedham, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285730713 | NPI | - | NPPES |
| 817690 | Other | AETNA | |
| CH2345 | Other | RAILROAD MEDICARE | |
| 732816 | Other | MA | TUFTS |
| Y61013 | Other | MA | BLUE CROSS BLUE SHIELD |
| 613720 | Other | HARVARD PILGRIM HLTH CARE | |
| 6400217 | Other | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Brian K Sickorez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730190620 PECOS PAC ID: 1153344700 Enrollment ID: I20060110000098 |
| Provider Name | Angelo Balsamo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376769190 PECOS PAC ID: 2567562234 Enrollment ID: I20070710000813 |
| Provider Name | Angela Weiss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982848891 PECOS PAC ID: 0749338705 Enrollment ID: I20090430000267 |
| Provider Name | Stephanie Schwartz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174629182 PECOS PAC ID: 0345414488 Enrollment ID: I20111129000541 |
| Provider Name | Stephen Minard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992801427 PECOS PAC ID: 4789858820 Enrollment ID: I20111129000561 |
| Provider Name | William Lachance |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851521256 PECOS PAC ID: 1153476296 Enrollment ID: I20180927000460 |
| Provider Name | Jamie M Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225594773 PECOS PAC ID: 0749520468 Enrollment ID: I20190315001988 |
| Provider Name | Abigail Selan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669184370 PECOS PAC ID: 8325418809 Enrollment ID: I20230628000428 |
| Provider Name | Megan Long |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831796259 PECOS PAC ID: 5092187674 Enrollment ID: I20230919000918 |
| Provider Name | Andrew Bernstein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780415539 PECOS PAC ID: 4486194305 Enrollment ID: I20240906000533 |
| Provider Name | Harry Moran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851119663 PECOS PAC ID: 5496287765 Enrollment ID: I20241011003296 |
| Provider Name | Debra Anne Nowak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396951489 PECOS PAC ID: 7719410737 Enrollment ID: I20241030000697 |
| Mailing Address | Practice Location Address |
|---|---|
| Drac Pt Inc 200 Providence Highway, Dedham, MA 02026 Ph: (781) 326-8332 | Drac Pt Inc 200 Providence Highway, Dedham, MA 02026 Ph: (781) 326-8332 |
Daniel Breeling, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 606 Providence Hwy, Dedham, MA 02026 Phone: 857-444-1010 | |
Gloria Perng, Physical Therapist Medicare: Medicare Enrolled Practice Location: 391 Common St, Dedham, MA 02026 Phone: 877-407-3422 Fax: 877-407-4329 | |
Margaret Lamir Heger, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Providence Highway, Dedham, MA 02026 Phone: 781-326-8332 Fax: 781-326-8262 | |
Deszarae Zohar, Physical Therapist Medicare: Medicare Enrolled Practice Location: 391 Common St, Dedham, MA 02026 Phone: 877-407-3422 Fax: 877-407-4329 | |
Bradley Lohbeck, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 460 Providence Hwy, Dedham, MA 02026 Phone: 781-381-5242 Fax: 781-686-9250 | |
Shannon Condon, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 391 Common St, Dedham, MA 02026 Phone: 877-407-3422 Fax: 877-407-4329 | |
Mauria V Falcone, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Lyons St, Dedham, MA 02026 Phone: 781-329-1400 Fax: 781-278-5664 |