Paula Jeanne Vintro, PTA

Individual provider Active NPI Physical Therapy Assistant · Osterville, MA

NPI 1447586045 · NPPES record last updated Nov 2, 2009

Key facts

NPI
1447586045
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
#2433 (MA)
Practice address
719 Main St
Osterville, MA 02655
Phone
(508) 428-0300
Fax
(508) 428-1211
NPI assigned
Nov 2, 2009
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)
No

State licenses

LicenseStateTypeSpecialty
#2433MAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Center, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X #2433 MA Yes

Addresses

Primary practice location

719 Main St
Osterville, MA 02655

Mailing address

719 Main St
Osterville, MA 02655
Phone (508) 428-0300

Other providers in Osterville, MA

All providers in Osterville, MA · Physical Therapy Assistant in Massachusetts

Sources for this page

Verify at the official NPI Registry.