| Ms Justine Beauchamp Henderson, PT, DPT | |
|
377 W Broadway, South Boston, MA 02127-2217 | |
| (617) 752-4643 | |
| Not Available |
| Full Name | Ms Justine Beauchamp Henderson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 10 Years |
| Location | 377 W Broadway, South Boston, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407211840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 22059 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bay State Physical Therapy Of Randolph Inc | 6305744251 | 365 |
| 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 |
|---|---|
| Ms Justine Beauchamp Henderson, PT, DPT 377 W Broadway, South Boston, MA 02127-2217 Ph: (617) 752-4643 | Ms Justine Beauchamp Henderson, PT, DPT 377 W Broadway, South Boston, MA 02127-2217 Ph: (617) 752-4643 |
Sarah Lewis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 386 W Broadway Fl 1, South Boston, MA 02127 Phone: 617-752-4672 | |
Brendan Kirck, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Old Colony Ave, South Boston, MA 02127 Phone: 781-664-9388 | |
Mrs. Lisa M Scialla, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 379 W Broadway, South Boston, MA 02127 Phone: 617-752-4138 Fax: 617-752-4127 | |
Emily Zarrilli, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 897 E Broadway, South Boston, MA 02127 Phone: 860-803-2442 | |
Mr. Timothy Campbell Kiley, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 377 W Broadway, South Boston, MA 02127 Phone: 617-752-4672 Fax: 617-752-4643 | |
Ryan Edmund Bogrette, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 379 W Broadway, South Boston, MA 02127 Phone: 617-968-3999 Fax: 617-752-4127 | |
Jillian O'connell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 386 W Broadway Fl 1, South Boston, MA 02127 Phone: 617-752-4672 |