Gateway Physical Therapy and Wellness Corp
Organization Active NPI Physical Therapist · Lee, MA
NPI 1194101048 · NPPES record last updated Feb 9, 2016
Key facts
- NPI
- 1194101048
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 17639 (MA)
- Legal business name
- GATEWAY PHYSICAL THERAPY AND WELLNESS CORP
- Practice address
- 80 Run Way
Lee, MA 01238-9612 - Phone
- (413) 243-3477
- Fax
- (413) 243-1630
- NPI assigned
- Aug 3, 2015
- Organization subpart
- No
Authorized official
- Name
- Rachel Welch, MSPT
- Title
- Owner/PT
- Phone
- (413) 243-3477
Practitioners 6
-
Stephanie Merwin, PT
-
Emily Rada, PT, DPT
-
Rachel E Welch, MSPT
-
Elizabeth Joppru, DPT
-
Brittany Short, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151027002387 | MA | Part B Supplier - Clinic/Group Practice | 8325357668 |
Receives reassigned benefits from 5 practitioners Practice locations: Lee, MA |
National Provider Directory
Locations
80 Run Way
Lee, MA 01238
Phone (413) 243-3477
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 17639 | MA | Yes |
Addresses
Primary practice location
80 Run Way
Lee, MA 01238-9612
Mailing address
80 Run Way
Lee, MA 01238-9612
Phone (413) 243-3477
Other providers in Lee, MA
- Amatollah Elsirafy
- Curtis Fecteau
- Alyssa L Felver
- Ardis Beth Fisch
- Kimberly Ann Galarneau
- Green Healthcare LLC
- Ramon Guerrero
- Kathleen Ann Hanley
- Robert Franklin Holub
- Mary Janell Hostetler
All providers in Lee, 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 Feb 9, 2016. 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.