Mr Shannon Michael Walton, MSPT | |
7 Alfred St, Suite 307, Woburn, MA 01801-1976 | |
(781) 938-5387 | |
(781) 503-5309 |
Full Name | Mr Shannon Michael Walton |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 30 Years |
Location | 7 Alfred St, Woburn, Massachusetts |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932216553 | NPI | - | NPPES |
64-00320 | Other | MA | UNITED HEALTH |
689253 | Other | MA | TUFTS |
Y67408 | Other | MA | BLUE CROSS BLUE SHIELD |
AA43298 | Other | MA | HARVARD PILGRIM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 10570 (Massachusetts) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletic Evolution Physical Therapy Llc | 2163785221 | 2 |
Provider Name | Athletic Evolution Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1346744216 PECOS PAC ID: 2163785221 Enrollment ID: O20180424002389 |
Mailing Address | Practice Location Address |
---|---|
Mr Shannon Michael Walton, MSPT 88 Peters Pond Drive, Dracut, MA 01826 Ph: (781) 938-5387 | Mr Shannon Michael Walton, MSPT 7 Alfred St, Suite 307, Woburn, MA 01801-1976 Ph: (781) 938-5387 |
Selina Fay, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Tradecenter, Woburn, MA 01801 Phone: 781-937-9777 | |
Scott E Havemeyer, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 150 Presidential Way, Suite 110, Woburn, MA 01801 Phone: 781-782-1300 Fax: 781-782-1350 | |
Jeffrey Stalker, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 Unicorn Park Dr Ste 201, Woburn, MA 01801 Phone: 781-782-1300 Fax: 781-782-1350 | |
Miss Lindsey Marie Wolfe, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 444 Washington St Ste 401, Woburn, MA 01801 Phone: 781-937-9777 | |
Matthew Vargas, Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 Trade Center, Woburn, MA 01801 Phone: 781-925-7643 Fax: 781-328-1569 | |
Shannon Cormier, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Tradecenter Ofc 5864, Woburn, MA 01801 Phone: 603-880-0448 | |
Kimberly Sarnacki, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 W Cummings Park, Woburn, MA 01801 Phone: 781-933-8800 |