| Massachusetts Medical & Physical Therapy Associates Inc. | |
|
500 W Cummings Park, Suite 2100, Woburn, MA 01801-6503 | |
| (781) 305-4656 | |
| (781) 305-4658 |
| Full Name | Massachusetts Medical & Physical Therapy Associates Inc. |
|---|---|
| Type | Facility |
| Speciality | Rehabilitation Practitioner |
| Location | 500 W Cummings Park, Woburn, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447259163 | NPI | - | NPPES |
| 9775978 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 551184 (Massachusetts) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
| Provider Name | Holly A Fitzgerald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396744900 PECOS PAC ID: 5890704027 Enrollment ID: I20060417000007 |
| Provider Name | Michelle Danley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417375734 PECOS PAC ID: 4385867316 Enrollment ID: I20140521000051 |
| Provider Name | Jillian Mcnabb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255754081 PECOS PAC ID: 1658591185 Enrollment ID: I20141006001688 |
| Provider Name | Ilya Gluskin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265862254 PECOS PAC ID: 2769614544 Enrollment ID: I20150925000851 |
| Provider Name | Nicholas Napoli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598280505 PECOS PAC ID: 2062786114 Enrollment ID: I20170928000369 |
| Provider Name | Alicia Dimauro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376022343 PECOS PAC ID: 7517211584 Enrollment ID: I20181109000346 |
| Provider Name | Kaitlyn Doucakis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528616869 PECOS PAC ID: 0345579066 Enrollment ID: I20190905002401 |
| Provider Name | Wesley Richard Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578101853 PECOS PAC ID: 1355779935 Enrollment ID: I20200313000187 |
| Provider Name | Molly Keeffe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366112450 PECOS PAC ID: 6800285743 Enrollment ID: I20211115000461 |
| Provider Name | Katherine Susan Bragdon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316603350 PECOS PAC ID: 1456742097 Enrollment ID: I20211215002115 |
| Provider Name | Tyler Axelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285353953 PECOS PAC ID: 4789051764 Enrollment ID: I20221103002135 |
| Provider Name | Liza Caldicott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427769710 PECOS PAC ID: 9133591902 Enrollment ID: I20230206000858 |
| Provider Name | Bradford Carney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346941200 PECOS PAC ID: 0547635112 Enrollment ID: I20230412002942 |
| Provider Name | Joshua Keitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144082835 PECOS PAC ID: 2961847892 Enrollment ID: I20240229003752 |
| Provider Name | Miranda Duffany |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619743283 PECOS PAC ID: 8426496811 Enrollment ID: I20240404000849 |
| Provider Name | Christi Sung |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225861370 PECOS PAC ID: 2163963935 Enrollment ID: I20240919002749 |
| Provider Name | Julia Carzo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417781923 PECOS PAC ID: 2466983317 Enrollment ID: I20241002001582 |
| Provider Name | Kristina Ann Codilla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386470722 PECOS PAC ID: 7315479805 Enrollment ID: I20241022004044 |
| Mailing Address | Practice Location Address |
|---|---|
| Massachusetts Medical & Physical Therapy Associates Inc. 500 W Cummings Park, Suite 2100, Woburn, MA 01801-6503 Ph: (781) 305-4656 | Massachusetts Medical & Physical Therapy Associates Inc. 500 W Cummings Park, Suite 2100, Woburn, MA 01801-6503 Ph: (781) 305-4656 |