Nancy R Branz

Individual provider Active NPI Physical Therapist · Amesbury, MA

NPI 1336364405 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1336364405
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
6155 (MA)
Practice address
110 Haverhill Rd
Suite 401
Amesbury, MA 01913-2123
Phone
(978) 388-4500
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6155MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Excella Healthcare, Inc. Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6155 MA Yes

Addresses

Primary practice location

110 Haverhill Rd
Suite 401
Amesbury, MA 01913-2123

Mailing address

110 Haverhill Rd
Suite 401
Amesbury, MA 01913-2123

Other providers in Amesbury, MA

All providers in Amesbury, MA · Physical Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.