| Jeremy Lichtman, PT | |
|
26 S Main St, Randolph, MA 02368-4821 | |
| (781) 961-9200 | |
| (781) 961-6599 |
| Full Name | Jeremy Lichtman |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 26 S Main St, Randolph, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073137287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 24886 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bay State Physical Therapy Of Randolph Inc | 6305744251 | 365 |
| Provider Name | Bay State Physical Therapy Of Randolph Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164474334 PECOS PAC ID: 6305744251 Enrollment ID: O20191112001187 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Lichtman, PT 703 Granite St Ste 3, Braintree, MA 02184-5350 Ph: (781) 961-3370 | Jeremy Lichtman, PT 26 S Main St, Randolph, MA 02368-4821 Ph: (781) 961-9200 |
Elizabeth Corcoran, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 123 Chestnut Cir, Randolph, MA 02368 Phone: 571-275-2043 | |
Mr. Kevin Serus, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26 S Main St, Randolph, MA 02368 Phone: 781-961-9200 Fax: 781-961-6599 | |
Veronica Schlegel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 535 South Main St, , 2nd Floor, Randolph, MA 02368 Phone: 781-961-3370 | |
Ashley Madeiros, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 26 S Main St, Randolph, MA 02368 Phone: 781-961-9200 | |
Emily St. Pierre, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 63 S Main St, Randolph, MA 02368 Phone: 781-961-9200 Fax: 781-961-6599 | |
Mark Powicki, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 63 S Main St, Randolph, MA 02368 Phone: 781-961-4460 |