Chester Ryan Ramirez Azurin, MSPT
Individual provider Active NPI Physical Therapist · Randolph, MA
NPI 1295003804 · NPPES record last updated Dec 31, 2019
Key facts
- NPI
- 1295003804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 19842 (MA)
- Practice address
- 26 S Main St
Randolph, MA 02368-4821 - Phone
- (781) 961-9200
- Fax
- (781) 961-6599
- NPI assigned
- Dec 9, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19842 | MA | MD | General Practice Dentistry |
| PT26996 | FL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT26996 | FL | |
| Physical Therapist | 225100000X | 19842 | MA | Yes |
Addresses
Primary practice location
26 S Main St
Randolph, MA 02368-4821
Mailing address
1 Credit Union Way FL 3
Randolph, MA 02368-4633
Phone (781) 961-3370
Other names
- Chester R Azurin
Other providers in Randolph, MA
- Kenneth Awasung
- Olusola Awodu
- Briana Ayala
- Pascale Azor
- Chidiebere Azuaru
- Mariama Ba
- Molly Babin
- Rachel Bacos
- Reginald Badeau
- Kadiatou Djindji Bah
All providers in Randolph, 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 Dec 31, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.