Matthew J Penque, | |
413 Trapelo Rd # 2, Belmont, MA 02478-1417 | |
(617) 932-1027 | |
(617) 932-1476 |
Full Name | Matthew J Penque |
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Gender | Male |
Speciality | Physical Therapist |
Location | 413 Trapelo Rd # 2, Belmont, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770133381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 24298 (Massachusetts) | Primary |
Provider Name | Advance Orthopedic & Sports Therapy |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871570176 PECOS PAC ID: 8022922624 Enrollment ID: O20031118000397 |
Mailing Address | Practice Location Address |
---|---|
Matthew J Penque, 107 College Rd, Concord, MA 01742-1526 Ph: (617) 932-1027 | Matthew J Penque, 413 Trapelo Rd # 2, Belmont, MA 02478-1417 Ph: (617) 932-1027 |
Stephanie L Leblanc, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 431 Trapelo Rd, Belmont, MA 02478 Phone: 617-932-1027 | |
Susan Adelle Farinella, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 278 Cross St, Unit1, Belmont, MA 02478 Phone: 617-484-0454 | |
Justin Wu, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 431 Trapelo Rd Unit 2, Belmont, MA 02478 Phone: 978-500-3003 | |
Ruthanne Rita Lamborghini, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 Mill St, Belmont, MA 02478 Phone: 617-855-2000 | |
Mr. Scott Todd Ludwig, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26 Brighton St, Belmont, MA 02478 Phone: 617-484-4068 Fax: 617-484-4086 | |
Mr. Edward M Quinn Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 30 Church St, Suite 225, Belmont, MA 02478 Phone: 617-489-2559 Fax: 617-489-2560 | |
Thomas Henry Krug, Physical Therapist Medicare: Medicare Enrolled Practice Location: 413 Trapelo Rd, #2, Belmont, MA 02478 Phone: 617-932-1027 |