| Greylock Physical Therapy, Inc. | |
|
31 Williamstown Rd, Lanesboro, MA 01237-9603 | |
| (413) 442-7007 | |
| (413) 442-7011 |
| Full Name | Greylock Physical Therapy, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 31 Williamstown Rd, Lanesboro, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598880395 | NPI | - | NPPES |
| 000000038655 | Other | BMC HEALTHNET PLAN | |
| 40193 | Other | HEALTH NEW ENGLAND | |
| 637747 | Other | TUFTS HEALTH PLAN | |
| Y61482 | Other | MA | BCBS PROVIDER NUMBER |
| 974781 | Medicaid | MA | |
| 6831785 | Other | CIGNA | |
| 9340087 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Lisa Baumgart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184707754 PECOS PAC ID: 5193734531 Enrollment ID: I20060413000255 |
| Provider Name | Sara A Scorpa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326520172 PECOS PAC ID: 6901141720 Enrollment ID: I20181226002250 |
| Provider Name | Peter Nicholas Karkantzelis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316595465 PECOS PAC ID: 8224571609 Enrollment ID: I20240614000341 |
| Mailing Address | Practice Location Address |
|---|---|
| Greylock Physical Therapy, Inc. P.o. Box 1583, 31 Williamstown Rd, Lanesboro, MA 01237-9603 Ph: (413) 442-7007 | Greylock Physical Therapy, Inc. 31 Williamstown Rd, Lanesboro, MA 01237-9603 Ph: (413) 442-7007 |
David M Kelley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31 Williamstown Road, Lanesboro, MA 01237 Phone: 413-442-7007 Fax: 413-442-7011 | |
James R Brennan, P.T, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Williamstown Road, Lanesboro, MA 01237 Phone: 413-442-7007 Fax: 413-442-7011 | |
Lisa M Baumgart, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 55 Williamstown Road, Lanesboro, MA 01237 Phone: 413-442-7007 Fax: 413-442-7011 | |
Ms. Deborah Margaret Gerard, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31 Williamstown Rd., Greylock Physical Therapy, Lanesboro, MA 01237 Phone: 413-442-7007 | |
Ms. Sandra C Knox, BS PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Williamstown Rd, Lanesboro, MA 01237 Phone: 413-442-7007 Fax: 413-442-7011 |