| Jordan Metcalf, DPT | |
|
1 Kendall Sq Ste B14104, Cambridge, MA 02139 | |
| (617) 491-0264 | |
| (617) 491-4411 |
| Full Name | Jordan Metcalf |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1 Kendall Sq Ste B14104, Cambridge, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104311208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Massachusetts) | Primary |
| 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 |
|---|---|
| Jordan Metcalf, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Jordan Metcalf, DPT 1 Kendall Sq Ste B14104, Cambridge, MA 02139 Ph: (617) 491-0264 |
Sita Anajis Agterberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-1000 | |
Madison Riahin, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 356 Third St, Cambridge, MA 02142 Phone: 401-433-4172 Fax: 401-433-0612 | |
Ms. Melissa Gayle Buffer, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 763 Massachusetts Ave Ste 7, Cambridge, MA 02139 Phone: 503-678-9806 | |
Miranda Mara Boucher, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-1000 | |
Maya Felten, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 32 Prospect St, Cambridge, MA 02139 Phone: 617-465-5877 | |
Ashley Stiles, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-1000 | |
Kuangyu Xu, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Prospect St, Cambridge, MA 02139 Phone: 617-465-5877 |