| Trevor Ensign, PT | |
|
75 Mount Auburn St, Cambridge, MA 02138-4960 | |
| (617) 495-5711 | |
| Not Available |
| Full Name | Trevor Ensign |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 8 Years |
| Location | 75 Mount Auburn St, Cambridge, 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 |
|---|---|---|---|
| 1265959787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT03061 (Rhode Island) | Secondary |
| 225100000X | Physical Therapist | 24243 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| President And Fellows Of Harvard College | 2062303894 | 86 |
| Provider Name | President & Fellows Of Harvard College |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952366312 PECOS PAC ID: 2062303894 Enrollment ID: O20040322001750 |
| Provider Name | Massachusetts Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1427713742 PECOS PAC ID: 8628468998 Enrollment ID: O20211130001099 |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor Ensign, PT 37 Cottage St, Warren, RI 02885-2801 Ph: (401) 450-5570 | Trevor Ensign, PT 75 Mount Auburn St, Cambridge, MA 02138-4960 Ph: (617) 495-5711 |
Sita Anajis Agterberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-1000 | |
Madison Riahin, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 356 Third St, Cambridge, MA 02142 Phone: 401-433-4172 Fax: 401-433-0612 | |
Ms. Melissa Gayle Buffer, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 763 Massachusetts Ave Ste 7, Cambridge, MA 02139 Phone: 503-678-9806 | |
Miranda Mara Boucher, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-1000 | |
Maya Felten, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 32 Prospect St, Cambridge, MA 02139 Phone: 617-465-5877 | |
Ashley Stiles, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-1000 | |
Kuangyu Xu, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Prospect St, Cambridge, MA 02139 Phone: 617-465-5877 |