Maureen Claire Beckshaw, PT

Individual provider Active NPI Physical Therapist · Somerville, MA

NPI 1124223045 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124223045
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
4869 (MA)
Practice address
5 Middlesex Ave
Somerville, MA 02145-1102
Phone
(617) 591-4636
Fax
(617) 591-4610
NPI assigned
Jun 20, 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)
No

State licenses

LicenseStateTypeSpecialty
4869MAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4869 MA Yes

Addresses

Primary practice location

5 Middlesex Ave
Somerville, MA 02145-1102

Mailing address

91 Taft St
Medford, MA 02155-1252
Phone (781) 395-6722

Other providers in Somerville, MA

All providers in Somerville, MA · Physical Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.