Trevor Ensign, PT | |
75 Mount Auburn St, Cambridge, MA 02138-4960 | |
(617) 495-5711 | |
Not Available |
Full Name | Trevor Ensign |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 7 Years |
Location | 75 Mount Auburn St, Cambridge, 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 |
---|---|---|---|
1265959787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT03061 (Rhode Island) | Secondary |
225100000X | Physical Therapist | 24243 (Massachusetts) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
President And Fellows Of Harvard College | 2062303894 | 92 |
Massachusetts Luna Care Physical Therapy Llc | 8628468998 | 16 |
Provider Name | President & Fellows Of Harvard College |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952366312 PECOS PAC ID: 2062303894 Enrollment ID: O20040322001750 |
Provider Name | Massachusetts Luna Care Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1427713742 PECOS PAC ID: 8628468998 Enrollment ID: O20211130001099 |
Mailing Address | Practice Location Address |
---|---|
Trevor Ensign, PT 37 Cottage St, Warren, RI 02885-2801 Ph: (401) 450-5570 | Trevor Ensign, PT 75 Mount Auburn St, Cambridge, MA 02138-4960 Ph: (617) 495-5711 |
Sita Anajis Agterberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-1000 | |
Ms. Melissa Gayle Buffer, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 763 Massachusetts Ave Ste 7, Cambridge, MA 02139 Phone: 503-678-9806 | |
Miranda Mara Boucher, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-1000 | |
Jessica Qiu, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1575 Cambridge St, Cambridge, MA 02138 Phone: 617-876-4344 | |
Sarah Martyn, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-2422 | |
Daniel Woodward, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 256-426-4297 | |
Elizabeth Kravets, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-1000 |