Ronald Alec Coulstring Jr., PTA
Individual provider Active NPI Physical Therapy Assistant · Somerset, MA
NPI 1033634951 · NPPES record last updated Aug 11, 2017
Key facts
- NPI
- 1033634951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 9305 (MA)
- Practice address
- 1440 Grand Army of the Republic
Somerset, MA 02726 - Phone
- (508) 675-0248
- NPI assigned
- Aug 11, 2017
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9305 | MA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Physical Therapy & Sports Rehabilitation, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 9305 | MA | Yes |
Addresses
Primary practice location
1440 Grand Army of the Republic
Somerset, MA 02726
Mailing address
1440 Grand Army of the Republic Highway
Somerset, MA 02726
Phone (508) 675-0248
Other providers in Somerset, MA
- Clifton Geriatric Center
- Janet Michelle Cope-Leclair
- Diane Joan Cordeiro
- Kaitlin Shay Costa
- Ronald David Coulombe
- Christopher Jack Courtney
- Reed Crowley
- CVS Pharmacy Inc
- Kenneth Albert Cwikla
- Alyssa Decosta
All providers in Somerset, MA · Physical Therapy Assistant in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2017. 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.