Denise A Bach, P.T.
Individual provider Active NPI Physical Therapist · Needham, MA
NPI 1003942947 · NPPES record last updated Jun 20, 2012
Key facts
- NPI
- 1003942947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2507 (MA)
- Practice address
- 10 Oak St
Suite 2
Needham, MA 02492-2409 - Phone
- (781) 444-0345
- Fax
- (781) 444-6105
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2507 | MA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2507 | MA | Yes |
Addresses
Primary practice location
10 Oak St
Suite 2
Needham, MA 02492-2409
Mailing address
10 Oak St
Suite 2
Needham, MA 02492-2409
Phone (781) 444-0345
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0366129 | Medicaid | MA | |
| Y66723 | Other | MA | BLUE CROSS BLUE SHIELD |
Other providers in Needham, MA
- Michelle Lynn Avigan
- Amaka Awuzie
- Gina Azar
- Suren Azizian
- Cory Babineau
- Madeline Bachta
- Kimberly Ann Baldasaro
- John S Baldwin
- Yolanda Baldwin
- Beth Bandes
All providers in Needham, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.