| Mark Powicki, PT | |
|
63 S Main St, Randolph, MA 02368-4862 | |
| (781) 961-4460 | |
| Not Available |
| Full Name | Mark Powicki |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 27 Years |
| Location | 63 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 |
|---|---|---|---|
| 1174513980 | NPI | - | NPPES |
| 110020320A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11449 (Massachusetts) | Primary |
| Provider Name | Bd Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1053743211 PECOS PAC ID: 3779701230 Enrollment ID: O20140825001198 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Powicki, PT 63 S Main St, Randolph, MA 02368-4862 Ph: (781) 961-4460 | Mark Powicki, PT 63 S Main St, Randolph, MA 02368-4862 Ph: (781) 961-4460 |
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 | |
Jeremy Lichtman, PT Physical Therapist Medicare: Accepting Medicare Assignments 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 |