Madison Randall, DPT | |
456 Main St Ste A-b, Holden, MA 01520-3708 | |
(508) 721-0000 | |
(508) 721-0100 |
Full Name | Madison Randall |
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Gender | Female |
Speciality | Physical Therapist |
Location | 456 Main St Ste A-b, Holden, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720782774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 26703 (Massachusetts) | Primary |
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 |
---|---|
Madison Randall, DPT 489 Washington St Ste 200, Auburn, MA 01501-5709 Ph: (508) 721-0000 | Madison Randall, DPT 456 Main St Ste A-b, Holden, MA 01520-3708 Ph: (508) 721-0000 |
Colleen Kennedy Chapman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 456 Main St Ste A-b, Holden, MA 01520 Phone: 508-721-0000 Fax: 508-721-0100 | |
Vincent Noe, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 18 Raymond St, Holden, MA 01520 Phone: 480-215-2789 | |
Michael Alan Roberts, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 176 Parker Ave, Holden, MA 01520 Phone: 508-667-0281 | |
Lauren Elizabeth Roberts, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 176 Parker Ave, Holden, MA 01520 Phone: 508-853-8081 | |
Carolyn O'leary, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1103 Main St, Holden, MA 01520 Phone: 508-829-3900 | |
Mrs. Vida Maria Juodaitis, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 56 Boyden Rd, Holden, MA 01520 Phone: 508-829-1210 | |
Susan D. Tack, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 800 Main St, Unit 9, Holden, MA 01520 Phone: 508-829-3113 |