Cori Barbara Ghidotti
Individual provider Active NPI Physical Therapist · Williamstown, MA
NPI 1609467166 · NPPES record last updated Jan 28, 2021
Key facts
- NPI
- 1609467166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 25314 (MA)
- Practice address
- 212B Main St Ste B
Williamstown, MA 01267-2641 - Phone
- (413) 458-8090
- Fax
- (413) 458-7958
- NPI assigned
- Jan 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 25314 | MA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 25314 | MA | Yes |
Addresses
Primary practice location
212B Main St Ste B
Williamstown, MA 01267-2641
Mailing address
212B Main St Ste B
Williamstown, MA 01267-2641
Phone (413) 458-8090
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25314 | Other | MA | MASSACHUSETTS LICENSE NUMBER |
Other providers in Williamstown, MA
- Doreen Mary Forney
- Eileen F. Gabriel
- Garden Somatics LLC
- Sriramya Gayam
- Daniel Todd Gaynor
- Julie Gill
- Emelia Maeve Gillis
- Paul Gitterman
- John Paul Green
- Kathleen Marie Green
All providers in Williamstown, 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 Jan 28, 2021. 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.