Meghan Taber, DPT | |
377 W Broadway, South Boston, MA 02127-2217 | |
(617) 752-4672 | |
(617) 752-4643 |
Full Name | Meghan Taber |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 377 W Broadway, South Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992104897 | NPI | - | NPPES |
110103562A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 21329 (Massachusetts) | Primary |
Provider Name | Bay State Physical Therapy Of Randolph Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164474334 PECOS PAC ID: 6305744251 Enrollment ID: O20191112001187 |
Mailing Address | Practice Location Address |
---|---|
Meghan Taber, DPT 1 Credit Union Way Fl 3, Randolph, MA 02368-4633 Ph: (781) 961-3370 | Meghan Taber, DPT 377 W Broadway, South Boston, MA 02127-2217 Ph: (617) 752-4672 |
Sarah Lewis, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 386 W Broadway Fl 1, South Boston, MA 02127 Phone: 617-752-4672 | |
Mr. Timothy Campbell Kiley, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 377 W Broadway, South Boston, MA 02127 Phone: 617-752-4672 Fax: 617-752-4643 | |
Ryan Edmund Bogrette, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 379 W Broadway, South Boston, MA 02127 Phone: 617-968-3999 Fax: 617-752-4127 | |
Jillian O'connell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 386 W Broadway Fl 1, South Boston, MA 02127 Phone: 617-752-4672 | |
Virginia Stalnaker, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 470 W Broadway Ste 2, South Boston, MA 02127 Phone: 617-752-4643 | |
Ms. Justine Beauchamp Henderson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 377 W Broadway, South Boston, MA 02127 Phone: 617-752-4643 | |
Kelsey Hanahan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 386 W Broadway Fl 1, South Boston, MA 02127 Phone: 617-752-4672 Fax: 617-752-4643 |