| Beantown Physio, Inc | |
|
33 Pond Ave, Suite 107b, Brookline, MA 02445-7163 | |
| (617) 232-7246 | |
| (617) 232-5196 |
| Full Name | Beantown Physio, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 33 Pond Ave, Brookline, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477547529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 16266 (Massachusetts) | Primary |
| 225100000X | Physical Therapist | 8336 (Massachusetts) | Secondary |
| Provider Name | Paul M Ghostlaw |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437110582 PECOS PAC ID: 9739153735 Enrollment ID: I20060329000124 |
| Provider Name | Jason B Mchugh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912175571 PECOS PAC ID: 2365520475 Enrollment ID: I20080415000277 |
| Provider Name | Anna Lawson Duffey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366929564 PECOS PAC ID: 9638420201 Enrollment ID: I20180920000700 |
| Provider Name | Khaleel Leroy Abdul-jabbaar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780295717 PECOS PAC ID: 2769800499 Enrollment ID: I20200914000179 |
| Provider Name | Elizabeth L Mckeon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154924645 PECOS PAC ID: 5890106728 Enrollment ID: I20201127000120 |
| Provider Name | Chase G Conway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598540544 PECOS PAC ID: 9234593674 Enrollment ID: I20230918003725 |
| Mailing Address | Practice Location Address |
|---|---|
| Beantown Physio, Inc 33 Pond Ave, Suite 107b, Brookline, MA 02445-7163 Ph: (617) 232-7246 | Beantown Physio, Inc 33 Pond Ave, Suite 107b, Brookline, MA 02445-7163 Ph: (617) 232-7246 |
Mr. Edward David Segel, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 524 Harvard St, Brookline, MA 02446 Phone: 617-731-1004 Fax: 617-731-1001 | |
Rachel Berger, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 318 Harvard St, Suite 30, Brookline, MA 02446 Phone: 617-975-1969 | |
Peter Stone, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 235 Cypress St, Ste 100, Brookline, MA 02445 Phone: 781-383-8767 Fax: 781-383-8687 | |
Janet L. Coupe, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Harvard St, Suite 15, Brookline, MA 02446 Phone: 617-566-8597 | |
Jessica Shattuck, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 637 Washington Street, Suite 102, Brookline, MA 02446 Phone: 617-734-6135 Fax: 617-734-3744 | |
Apurva Desai, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Webster St, Brookline, MA 02446 Phone: 617-734-6475 | |
Malka Raisz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26 Thorndike St, Brookline, MA 02446 Phone: 617-785-0781 Fax: 413-828-6599 |