Paula Anne Grandpre Wood I, P.T.
Individual provider Active NPI Physical Therapist · Sturbridge, MA
NPI 1366472276 · NPPES record last updated Jun 27, 2014
Key facts
- NPI
- 1366472276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 6528 (MA)
- Practice address
- 179 Main St
Sturbridge, MA 01566-1158 - Phone
- (508) 347-8141
- Fax
- (508) 347-7576
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- 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 |
|---|---|---|---|
| 6528 | MA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6528 | MA | Yes |
Addresses
Primary practice location
179 Main St
Sturbridge, MA 01566-1158
Mailing address
179 Main St
Sturbridge, MA 01566-1158
Phone (508) 347-8141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6528 | Other | MA | P.T. LICENSE NUMBER |
Other providers in Sturbridge, MA
- Monica A Goodrich-Pelletier
- Rebecca Gordon
- Sarah Elizabeth Gorgone
- Graceful Resilience Counseling & Community Services LLC
- Graceful Resilience Counseling & Community Services, LLC
- Christopher Groves
- Delaney Hanrahan
- Richard Alexander Hartwell
- Healthy Concept Family Practice, LLC
- Audra D Hensel
All providers in Sturbridge, 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 Jun 27, 2014. 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.