| Melissa Fournier Kennedy, PT, OCS | |
| 
					143 Longwater Dr, Norwell, MA 02061-1683  | |
| (781) 878-5200 | |
| Not Available | 
| Full Name | Melissa Fournier Kennedy | 
|---|---|
| Gender | Female | 
| Speciality | Physical Therapist | 
| Location | 143 Longwater Dr, Norwell, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083762108 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 18230 (Massachusetts) | Primary | 
| 225100000X | Physical Therapist | 007666 (Connecticut) | Secondary | 
| Provider Name | South Shore Medical Center, Inc. | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1669411856 PECOS PAC ID: 3678487444 Enrollment ID: O20040413000332  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Melissa Fournier Kennedy, PT, OCS 143 Longwater Dr, Norwell, MA 02061-1683 Ph: (781) 878-5200  | Melissa Fournier Kennedy, PT, OCS 143 Longwater Dr, Norwell, MA 02061-1683 Ph: (781) 878-5200  | 
Lisa C Walters, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Longwater Cir, Suite 201, Norwell, MA 02061 Phone: 781-347-4686  | |
Ms. Bernadette Ward Pronk, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 Longwater Circle, Norwell, MA 02061 Phone: 781-659-1413 Fax: 781-659-2139  | |
Dr. Angelica Joyce Castaneda, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 141 Longwater Dr Ste 109, Norwell, MA 02061 Phone: 339-788-9202 Fax: 339-788-9872  | |
Mackenzie Jacobs, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 119 Washington St, Norwell, MA 02061 Phone: 781-871-9500 Fax: 781-871-9525  | |
Eric Heath, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 Longwater Dr, Suite 109, Norwell, MA 02061 Phone: 339-788-9202  | |
David Phillip Anthony Barber, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 454 Washington St Ste 2, Norwell, MA 02061 Phone: 339-214-3164 Fax: 339-214-3165  |