Jennifer Lucich
Individual provider Active NPI Geriatric Physical Therapist · Beverly, MA
NPI 1780165670 · NPPES record last updated Aug 28, 2018
Key facts
- NPI
- 1780165670
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Physical Therapist 2251G0304X
- Practice address
- 87 Herrick St
Beverly, MA 01915-2773 - Phone
- (978) 921-1392
- NPI assigned
- Aug 28, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | Yes |
Addresses
Primary practice location
87 Herrick St
Beverly, MA 01915-2773
Mailing address
87 Herrick St
Beverly, MA 01915-2773
Other providers in Beverly, MA
- Amanda Marie Lubas
- Sarah Lubofsky
- Barbara J Luby
- Pamela E Lucci
- Ivana Lucero
- Symphony Lugo
- Juliette Lumley
- Oana M Lungu
- Yong Luo
- Victoria Lyman
All providers in Beverly, MA · Geriatric 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 Aug 28, 2018. 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.