| Mateo Martinez, | |
|
75-77 Spring Street, West Roxbury, MA 02132 | |
| (617) 637-4640 | |
| (617) 420-5980 |
| Full Name | Mateo Martinez |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 75-77 Spring Street, West Roxbury, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770320772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Massachusetts) | Primary |
| Provider Name | Performance Rehabilitation Of Western New England Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1710919063 PECOS PAC ID: 7911979950 Enrollment ID: O20040810000712 |
| Mailing Address | Practice Location Address |
|---|---|
| Mateo Martinez, 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: (866) 370-8206 | Mateo Martinez, 75-77 Spring Street, West Roxbury, MA 02132 Ph: (617) 637-4640 |
Monica Nicole Lohbeck, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 75-77 Spring Street, Unit 200, West Roxbury, MA 02132 Phone: 617-637-4640 Fax: 617-420-5980 | |
Amie Loftus, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1914 Centre St, West Roxbury, MA 02132 Phone: 617-323-8377 Fax: 617-323-8077 | |
Dr. Jinyang Li, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Vfw Pkwy # Ag10, West Roxbury, MA 02132 Phone: 857-203-6516 | |
Mr. Jeffrey Charles Carlson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1208b Vfw Pkwy, Suite 202, West Roxbury, MA 02132 Phone: 617-325-7246 Fax: 617-325-7282 | |
Lindsay Beatty, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Vfw Pkwy, West Roxbury, MA 02132 Phone: 857-203-5470 | |
Joanna Flynn, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Vfw Pkwy, West Roxbury, MA 02132 Phone: 617-323-7700 | |
Katherine W Tarantino, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1914 Centre St, West Roxbury, MA 02132 Phone: 617-323-8377 Fax: 617-323-8077 |