Christopher Thomas Stack, DPT | |
489 Washington St Ste 200, Auburn, MA 01501-5709 | |
(774) 696-8309 | |
(508) 297-8416 |
Full Name | Christopher Thomas Stack |
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Gender | Male |
Speciality | Physical Therapist |
Location | 489 Washington St Ste 200, Auburn, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316457393 | NPI | - | NPPES |
Provider Name | Physical Therapy Innovations, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689620452 PECOS PAC ID: 2466345491 Enrollment ID: O20040204000549 |
Mailing Address | Practice Location Address |
---|---|
Christopher Thomas Stack, DPT 435 Hartford Tpke Ste U, Vernon, CT 06066-4834 Ph: (860) 979-1611 | Christopher Thomas Stack, DPT 489 Washington St Ste 200, Auburn, MA 01501-5709 Ph: (774) 696-8309 |
Nicholas Cebula, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 489 Washington St Ste 200, Auburn, MA 01501 Phone: 774-696-8309 Fax: 508-721-0100 | |
Rachelle Jenkins, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 489 Washington St, Suite 200, Auburn, MA 01501 Phone: 508-721-0000 Fax: 508-721-0100 | |
Kyle Richardson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 489 Washington St Ste 200, Auburn, MA 01501 Phone: 774-696-8309 Fax: 508-721-0000 | |
Kristin Meloni, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 489 Washington St, Suite 200, Auburn, MA 01501 Phone: 508-721-0000 Fax: 508-721-0100 | |
Grant Pattee, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 489 Washington St, Suite 200, Auburn, MA 01501 Phone: 508-721-0000 Fax: 508-721-0100 | |
Madeleine Margaret Story, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 489 Washington St Ste 200, Auburn, MA 01501 Phone: 774-696-8309 Fax: 508-721-0100 | |
Ms. Laurie A Borriello, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 319a Southbridge St, Auburn, MA 01501 Phone: 508-832-2628 |