| Nicole Selvaraj, DPT | |
|
170 Governors Ave, Medford, MA 02155-1643 | |
| (781) 395-7750 | |
| Not Available |
| Full Name | Nicole Selvaraj |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 170 Governors Ave, Medford, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245430487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 17987 (Massachusetts) | Primary |
| Provider Name | Fox Rehab Ma Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1497174437 PECOS PAC ID: 3678895000 Enrollment ID: O20141213000299 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Selvaraj, DPT 101 Main St Ste 105, Medford, MA 02155-4530 Ph: (781) 395-7750 | Nicole Selvaraj, DPT 170 Governors Ave, Medford, MA 02155-1643 Ph: (781) 395-7750 |
Christopher Herbs, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 275 Mystic Ave Ste C, Medford, MA 02155 Phone: 178-187-4929 | |
Mrs. Marianne Rose Giurleo, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 40 Robinson Rd, Medford, MA 02155 Phone: 781-395-3832 | |
Boston Physical Therapy & Wellness, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 275 Mystic Ave, Ste. C, Medford, MA 02155 Phone: 781-572-2965 | |
Ms. Jessica Harney, DPT, OT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 170 Governors Ave, Medford, MA 02155 Phone: 781-395-7750 Fax: 781-395-5343 | |
Dr. Katie Cunningham, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Governors Ave, Medford, MA 02155 Phone: 781-391-5400 | |
Mrs. Astrid Eva Rothmund Lewis, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 26 Jerome St, Medford, MA 02155 Phone: 617-290-2711 Fax: 781-646-1090 | |
Mrs. Kathleen F Gunnery, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 170 Governors Ave, Medford, MA 02155 Phone: 781-306-6950 |