| Ian Spencer Burgess, PT | |
|
305 Maple St, East Longmeadow, MA 01028-2773 | |
| (413) 525-6361 | |
| Not Available |
| Full Name | Ian Spencer Burgess |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 305 Maple St, East Longmeadow, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588393086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2251000000X (Massachusetts) | Primary |
| Provider Name | Massachusetts Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1427713742 PECOS PAC ID: 8628468998 Enrollment ID: O20211130001099 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Spencer Burgess, PT 13 Kyle St # Dd, Brunswick, ME 04011-7313 Ph: (207) 751-8664 | Ian Spencer Burgess, PT 305 Maple St, East Longmeadow, MA 01028-2773 Ph: (413) 525-6361 |
Jennifer Salemi, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Chestnut St, East Longmeadow, MA 01028 Phone: 413-525-1893 | |
Pamela Leclair, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 45 Crane Ave, East Longmeadow, MA 01028 Phone: 413-525-7813 | |
James Biron, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 Denslow Rd, East Longmeadow, MA 01028 Phone: 413-526-9969 Fax: 413-526-9960 | |
Yu Jenn Lee, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 168 Denslow Rd, East Longmeadow, MA 01028 Phone: 413-526-9924 | |
Megan L Wiedler, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 168 Denslow Rd, East Longmeadow, MA 01028 Phone: 413-526-9924 Fax: 413-529-9961 | |
Mrs. Danielle Elizabeth Brunelle, MPT, LATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 168 Denslow Rd, East Longmeadow, MA 01028 Phone: 413-526-9969 Fax: 413-526-9960 | |
Donna Durocher, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 168 Denslow Road, East Longmeadow, MA 01028 Phone: 413-526-9924 Fax: 413-526-9961 |