Mary Sweeney, PTA

Individual provider Active NPI Physical Therapy Assistant · Northbridge, MA

NPI 1174090765 · NPPES record last updated Nov 1, 2018

Key facts

NPI
1174090765
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
3597 (MA)
Practice address
85 Beaumont Dr
Northbridge, MA 01534-1093
Phone
(508) 234-9771
NPI assigned
Nov 1, 2018
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
3597MAMDGerontology Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 3597 MA Yes

Addresses

Primary practice location

85 Beaumont Dr
Northbridge, MA 01534-1093

Mailing address

2701 Chestnut Station CT
Louisville, KY 40299-6395
Phone (800) 335-1060

Other providers in Northbridge, MA

All providers in Northbridge, MA · Physical Therapy Assistant in Massachusetts

Sources for this page

Verify at the official NPI Registry.