| Ketaki Jairaj Jatar, | |
|
103 Garland St, Everett, MA 02149-5066 | |
| (617) 381-7175 | |
| Not Available |
| Full Name | Ketaki Jairaj Jatar |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 103 Garland St, Everett, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932613106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 26761 (Maryland) | Secondary |
| 225100000X | Physical Therapist | 88458 (Massachusetts) | Primary |
| Provider Name | Sports Pro Physical Therapy LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285611608 PECOS PAC ID: 4688748106 Enrollment ID: O20080801000088 |
| Provider Name | Ati Holdings, LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20140610001109 |
| Mailing Address | Practice Location Address |
|---|---|
| Ketaki Jairaj Jatar, 103 Garland St, Everett, MA 02149-5066 Ph: (617) 381-7175 | Ketaki Jairaj Jatar, 103 Garland St, Everett, MA 02149-5066 Ph: (617) 381-7175 |
Mrs. Michela Anne Bodinaku, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 Broadway Apt 103, Everett, MA 02149 Phone: 781-443-4677 |
Andrew Marzan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 289 Elm St, Everett, MA 02149 Phone: 617-387-6560 |
Juliane Farias, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Bellingham Ave, Everett, MA 02149 Phone: 857-453-0753 |
Everett Community Physical Therapy Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 563 Broadway Ste 2, Everett, MA 02149 Phone: 617-294-2385 |
Mr. Nicholas Robert Giurleo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Garland St, Everett, MA 02149 Phone: 617-381-7143 |
Jillian Lynn Cunningham, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Garland St, Everett, MA 02149 Phone: 617-381-7175 |
Mr. John Petros Douzepis, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 602 Broadway, Everett, MA 02149 Phone: 617-389-7211 Fax: 617-389-7225 |