Sean Willoughby, MSPT, PT | |
1 Pearl St Ste 1700, Brockton, MA 02301-2865 | |
(508) 427-0525 | |
(774) 223-5017 |
Full Name | Sean Willoughby |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 16 Years |
Location | 1 Pearl St Ste 1700, Brockton, 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 |
---|---|---|---|
1336259860 | NPI | - | NPPES |
110084875A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 18114 (Massachusetts) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bay State Physical Therapy Of Randolph Inc | 6305744251 | 313 |
Provider Name | Bay State Physical Therapy Of Randolph Inc |
---|---|
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 |
---|---|
Sean Willoughby, MSPT, PT 1 Credit Union Way, Fl. 3, Randolph, MA 02368-4633 Ph: (781) 961-3370 | Sean Willoughby, MSPT, PT 1 Pearl St Ste 1700, Brockton, MA 02301-2865 Ph: (508) 427-0525 |
Katherine Shao, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1115 W Chestnut St, Brockton, MA 02301 Phone: 508-580-4691 | |
Margaret Ann Longwe, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 215 Thatcher St, Brockton, MA 02302 Phone: 508-583-5834 | |
Dr. Corinne Victoria Dejoseph, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1115 W Chestnut St, Brockton, MA 02301 Phone: 508-580-4691 | |
Beryl E. Paulhus, P.T., D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1115 W Chestnut St, Brockton, MA 02301 Phone: 508-580-4691 | |
Mr. Michael J. Rourke, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 Liberty St, Suite 1300, Brockton, MA 02301 Phone: 508-580-0144 Fax: 508-580-0449 | |
Ultracare, P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 157 Main St, Brockton, MA 02301 Phone: 508-510-4221 Fax: 508-510-5126 | |
Ms. Jenna Carchedi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Pearl St, Suit 1700, Brockton, MA 02301 Phone: 508-427-0525 Fax: 774-223-5017 |