| Colleen Rose Berry, PT, DPT | |
|
501 John Mahar Hwy Ste 100, Braintree, MA 02184-6563 | |
| (781) 214-1717 | |
| (339) 201-3374 |
| Full Name | Colleen Rose Berry |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 501 John Mahar Hwy Ste 100, Braintree, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346960200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02108800 (New Jersey) | Secondary |
| 225100000X | Physical Therapist | PTL27237 (Massachusetts) | Primary |
| Provider Name | Ivyrehab Network Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861623753 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Rose Berry, PT, DPT 99 Longwater Cir Ste 201, Norwell, MA 02061-1643 Ph: (617) 657-5921 | Colleen Rose Berry, PT, DPT 501 John Mahar Hwy Ste 100, Braintree, MA 02184-6563 Ph: (781) 214-1717 |
Nicole Janine Dubou, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1102 Washington St, Braintree, MA 02184 Phone: 781-848-3100 | |
Kathleen Terry, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1102 Washington St, Braintree, MA 02184 Phone: 413-265-3971 | |
Lisa Jean Sandberg, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 222 Forbes Rd, Braintree, MA 02184 Phone: 781-356-7400 | |
Ms. Stephanie Bono, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 95 Commericial Street, Braintree, MA 02184 Phone: 781-848-3678 | |
Richard P Kennedy, PTSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25 Braintree Hill Office Park, Braintree, MA 02184 Phone: 781-848-7300 Fax: 781-848-5678 | |
Mrs. Joy Elaine Waugh Ingraham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 78 Hancock St, Suite 14, Braintree, MA 02184 Phone: 781-380-4831 | |
Danielle Pacini, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 John Mahar Hwy Ste 301, Braintree, MA 02184 Phone: 781-384-0500 Fax: 781-848-0501 |