Robert F Verzone Sr., MPT, PT

Individual provider Active NPI Physical Therapist · Halifax, MA

NPI 1720176936 · NPPES record last updated Jul 17, 2007

Key facts

NPI
1720176936
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2914 (MA)
Practice address
430 Plymouth Street
Halifax, MA 02338
Phone
(781) 293-8758
Fax
(781) 293-4230
NPI assigned
Oct 11, 2006
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)
Yes

State licenses

LicenseStateTypeSpecialty
2914MAMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2914 MA Yes

Addresses

Primary practice location

430 Plymouth Street
Halifax, MA 02338

Mailing address

430 Plymouth Street
Halifax, MA 02338
Phone (781) 293-8758

Other providers in Halifax, MA

All providers in Halifax, MA · Physical Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.