Judith A Barry, PTA
Individual provider Active NPI Physical Therapy Assistant · Kingston, MA
NPI 1295931483 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295931483
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 3639A (MA)
- Practice address
- 17 Chipman Way
Kingston, MA 02364 - Phone
- (781) 585-4100
- NPI assigned
- Jun 25, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3639A | MA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Health Care | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 3639A | MA | Yes |
Addresses
Primary practice location
17 Chipman Way
Kingston, MA 02364
Mailing address
75 Upland Rd
Plympton, MA 02367
Phone (781) 585-5487
Other providers in Kingston, MA
- Jaclyn Morgan Armstrong
- Melissa Arseneau
- Michelle Lea Aucoin
- Nicholas Melchior Auerbach
- Jeffrey Raymond Barefoot
- Lea Bartolo
- Sabrina Leeann Bastos
- Ashlee Bates
- Danielle Bayer
- Bayside Counseling and Consulting
All providers in Kingston, MA · Physical Therapy Assistant 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.