Beverly Ann Biondi, PT
Individual provider Active NPI Physical Therapist · Brewster, MA
NPI 1184763997 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1184763997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4988 (MA)
- Practice address
- 84 Underpass Rd
Brewster, MA 02631 - Phone
- (508) 241-5373
- Fax
- (508) 896-2873
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050110000034 | MA | Practitioner - Physical Therapist in Private Practice | 1456309285 | Practice locations: Brewster, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT12163 | CA | MD | Physical Therapist |
| 4988 | MA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4988 | MA | Yes |
| Physical Therapist | 225100000X | PT12163 | CA |
Addresses
Primary practice location
84 Underpass Rd
Brewster, MA 02631
Mailing address
86 The Tides CT
Brewster, MA 02631
Phone (508) 241-5373
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 626564 | Other | MA | HARVARD PILGRIM |
Other providers in Brewster, MA
- Be Well Wellbeing Cape Cod LLC
- Priscilla Ann Bellerose
- Stephen J. Bellorini
- Dana S Bennett
- Abigail Usen Berner
- Maryalice Oshana Biondi
- Michael Blanchard
- Mary Kate Bloomer
- Jessica Bois
- Amy Beth Boyle
All providers in Brewster, 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 Jul 8, 2007. 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.