| Elizabeth J Thibodeau, | |
|
21 Bristol Drive, Suite 204, South Easton, MA 02375 | |
| (508) 565-3430 | |
| Not Available |
| Full Name | Elizabeth J Thibodeau |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 21 Bristol Drive, South Easton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043540883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 18907 (Massachusetts) | Primary |
| Provider Name | Southcoast Physicians Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
| Provider Name | Brockton Physical Therapy & Rehabilitation, Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1245528074 PECOS PAC ID: 0042481319 Enrollment ID: O20110916000125 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth J Thibodeau, 184 Lincoln Street, Unit C, Hingham, MA 02043 Ph: (508) 565-3430 | Elizabeth J Thibodeau, 21 Bristol Drive, Suite 204, South Easton, MA 02375 Ph: (508) 565-3430 |
Madison Rose, Physical Therapist Medicare: Medicare Enrolled Practice Location: 566 Washington St, South Easton, MA 02375 Phone: 508-559-5108 | |
Angelina Mendes, Physical Therapist Medicare: Medicare Enrolled Practice Location: 566 Washington St Ste 1, South Easton, MA 02375 Phone: 508-559-5108 | |
James Ashcroft, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Plymouth Dr Ste D, South Easton, MA 02375 Phone: 508-987-4653 Fax: 508-955-2443 | |
Samantha Hourihan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 566 Washington St, South Easton, MA 02375 Phone: 508-559-5108 | |
Lindsey Sumpman, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 566 Washington St Ste 1, South Easton, MA 02375 Phone: 508-559-5108 | |
Brittany Noto, Physical Therapist Medicare: Medicare Enrolled Practice Location: 566 Washington St, South Easton, MA 02375 Phone: 508-559-5108 |