Boston Health & Wellness, LLC
Organization Active NPI Physical Therapist · Stoneham, MA
NPI 1033738489 · NPPES record last updated Nov 22, 2023
Key facts
- NPI
- 1033738489
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- BOSTON HEALTH & WELLNESS, LLC
- Practice address
- 62 Montvale Ave Ste Z
Stoneham, MA 02180-3600 - Phone
- (617) 843-5320
- NPI assigned
- Apr 15, 2020
- Organization subpart
- No
Authorized official
- Name
- Stefanie Depaul, PT, DPT
- Title
- President
- Phone
- (774) 573-2250
Practitioners 17
-
Stefanie Depaul, PT, DPT, CSCS, RYT
-
Donald Feeney Jr., PT,DPT
-
Elyse Kite, DPT
-
Caroline Samsonik, DPT
-
Eliot Smalheiser, PT
-
Anna Cook, DPT
-
Jennifer Marie Labita, PT, DPT
-
Tisha Dawn Sutton, MPT
-
Katherine Susan Bragdon, PT, DPT
-
Kris Camelio, PT
-
John Finn Jr., DPT, LMT
-
Harpreet Gill Patel, PT, DPT
-
Matthew Mooney, DPT
-
Sarah Mauser, DPT PT ATC
-
Jacqueline Lyman, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200603001926 | MA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 2961823760 |
Receives reassigned benefits from 15 practitioners Practice locations: Stoneham, MA; Wakefield, MA |
National Provider Directory
Locations
62 Montvale Ave
Ste Z
Stoneham, MA 02180
Phone (617) 843-5320
333 North Ave
Wakefield, MA 01880
Phone (781) 245-3135
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
62 Montvale Ave Ste Z
Stoneham, MA 02180-3600
Mailing address
250 First Aveneue
#506
Charlestown, MA 02129
Phone (774) 573-2250
Other providers in Stoneham, MA
- Diane Marie Bonanni
- Bond Shoe & Foot LLC
- Denise Boodoo
- Siri Boonsirisermsook
- Jolene Elizabeth Borchelt
- Boston Prolotherapy & Orthopaedics, PLLC
- Bostonivf-Crmi Holding, LLC
- Keri Susan Bouthiller
- Susan Bove
- Kimberli C Bowler
All providers in Stoneham, 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 Nov 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.