Bohn Gilbride, PTA
Individual provider Active NPI Physical Therapy Assistant · Rochester, MA
NPI 1700487261 · NPPES record last updated Nov 2, 2020
Key facts
- NPI
- 1700487261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 9714 (MA)
- Practice address
- 66 Mendell Rd
Rochester, MA 02770-2001 - Phone
- (907) 406-0816
- NPI assigned
- Nov 2, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9714 | MA | MD | Prosthodontist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant |
225200000X | 9714 | MA | Yes |
Addresses
Primary practice location
66 Mendell Rd
Rochester, MA 02770-2001
Mailing address
66 Mendell Rd
Rochester, MA 02770-2001
Phone (907) 406-0816
Other providers in Rochester, MA
- Amy Fuller
- Natalia Furtado
- Alexis Margaret Gaboury
- Gateway ABA Therapy LLC
- Vincent Giacomozzi
- Ana Paula Gomes
- Taeya Gomes
- Shawn Green
- Morgan Guilfoyle
- Emma Haaser
All providers in Rochester, MA · Physical Therapy Assistant in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2020. 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.