Victoria Etzel, DPT

Individual provider Active NPI Physical Therapist · Sharon, MA

NPI 1477070332 · NPPES record last updated Aug 30, 2021

Key facts

NPI
1477070332
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
23195 (MA)
Practice address
740 S Main St
Sharon, MA 02067-2841
Phone
(857) 444-1090
NPI assigned
Aug 23, 2017
Sex
Female
Sole proprietor
Yes

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marathon Physical Therapy and Sports Medicine, LLC Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 23195 MA Yes

Addresses

Primary practice location

740 S Main St
Sharon, MA 02067-2841

Mailing address

250 E Main St
Norton, MA 02766-2436
Phone (857) 444-1005

Other providers in Sharon, MA

All providers in Sharon, MA · Physical Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.