Broadway Physical Therapy, Inc. | |
185 Squire Rd, Revere, MA 02151-1234 | |
(781) 284-0559 | |
(781) 284-0698 |
Full Name | Broadway Physical Therapy, Inc. |
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Type | Facility |
Speciality | Physical Therapist |
Location | 185 Squire Rd, Revere, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1396813689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Michelle A Marino |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912042193 PECOS PAC ID: 3173629995 Enrollment ID: I20070510000331 |
Provider Name | Gregory Berger |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568447373 PECOS PAC ID: 5890735054 Enrollment ID: I20071005000151 |
Mailing Address | Practice Location Address |
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Broadway Physical Therapy, Inc. 185 Squire Rd, Revere, MA 02151-1234 Ph: (781) 284-0559 | Broadway Physical Therapy, Inc. 185 Squire Rd, Revere, MA 02151-1234 Ph: (781) 284-0559 |
Cecilia Jiang, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6234 | |
Dr. Joseph Michael Czupryna, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6000 | |
Shraddha Patel, PT, DPT, MPH Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 430 Broadway, Revere, MA 02151 Phone: 781-816-0573 | |
Shelby L Bell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6234 | |
Ms. Emily Wylene Smith, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6222 | |
Erin Anderson, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 385 Broadway, Suite 205, Revere, MA 02151 Phone: 781-485-1001 Fax: 781-485-1003 |