| Fitness Forum Services Llc | |
|
110 Liberty St, Suite 1300, Brockton, MA 02301-5521 | |
| (508) 580-0144 | |
| (508) 580-0449 |
| Full Name | Fitness Forum Services Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 110 Liberty St, Brockton, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205803558 | NPI | - | NPPES |
| 623323 | Other | MA | HARVARD PILGRIM HEALTHCARE |
| 613818 | Other | MA | TUFTS |
| 9786384 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Fitness Forum Services Llc 322 E Center St, West Bridgewater, MA 02379-1824 Ph: (508) 559-0993 | Fitness Forum Services Llc 110 Liberty St, Suite 1300, Brockton, MA 02301-5521 Ph: (508) 580-0144 |
Katherine Shao, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1115 W Chestnut St, Brockton, MA 02301 Phone: 508-580-4691 | |
Margaret Ann Longwe, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 215 Thatcher St, Brockton, MA 02302 Phone: 508-583-5834 | |
Dr. Corinne Victoria Dejoseph, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1115 W Chestnut St, Brockton, MA 02301 Phone: 508-580-4691 | |
Beryl E. Paulhus, P.T., D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1115 W Chestnut St, Brockton, MA 02301 Phone: 508-580-4691 | |
Mr. Michael J. Rourke, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 Liberty St, Suite 1300, Brockton, MA 02301 Phone: 508-580-0144 Fax: 508-580-0449 | |
Ultracare, P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 157 Main St, Brockton, MA 02301 Phone: 508-510-4221 Fax: 508-510-5126 | |
Ms. Jenna Carchedi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Pearl St, Suit 1700, Brockton, MA 02301 Phone: 508-427-0525 Fax: 774-223-5017 |