Michael Jean Pepin, D.C. CCSP, CSCS
Individual provider Active NPI Sports Physician Chiropractor · Attleboro Falls, MA
NPI 1023348703 · NPPES record last updated Mar 1, 2021
Key facts
- NPI
- 1023348703
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Physician Chiropractor 111NS0005X
- License
- 3646 (MA)
- Practice address
- 51 Robinson Ave
Attleboro Falls, MA 02763-1100 - Phone
- (508) 316-8482
- Fax
- (508) 804-7158
- NPI assigned
- Jan 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| DCP00600 | RI | MD | Sports Physician Chiropractor |
| 3646 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Sports Performance Institute | Rehabilitation | Current |
Accepting new patients |
Locations
51 Robinson Ave
Attleboro Falls, MA 02763
Phone (508) 316-8482
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DCP00600 | RI | |
| Rehabilitation Chiropractor | 111NR0400X | DCP00600 | RI | |
| Rehabilitation Chiropractor | 111NR0400X | 3646 | MA | |
| Sports Physician Chiropractor | 111NS0005X | DCP00600 | RI | |
| Sports Physician Chiropractor | 111NS0005X | 3646 | MA | Yes |
Addresses
Primary practice location
51 Robinson Ave
Attleboro Falls, MA 02763-1100
Mailing address
2 Wampum TRL
Cumberland, RI 02864-2213
Phone (401) 617-1001
Other practice location 1
79 Newbury Ave
Woonsocket, RI 02895-5616
Phone (401) 617-1001
Other practice location 2
2 Wampum Trl
Cumberland, RI 02864-2213
Phone (401) 617-1001 ext. 40161
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All providers in Attleboro Falls, MA · Sports Physician Chiropractor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2021. 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.