Marc M. Bochner, D.P.T.

Individual provider Active NPI Physical Therapist · Lincoln, RI

NPI 1831428077 · NPPES record last updated Dec 17, 2009

Key facts

NPI
1831428077
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT02268 (RI)
Practice address
872 Smithfield Ave
Lincoln, RI 02865-3500
Phone
(401) 722-0012
Fax
(401) 722-0056
NPI assigned
Dec 17, 2009
Sex
Male
Sole proprietor
No

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
East Greenwich Spine & Sport, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT02268 RI Yes

Addresses

Primary practice location

872 Smithfield Ave
Lincoln, RI 02865-3500

Mailing address

872 Smithfield Ave
Lincoln, RI 02865-3500
Phone (401) 722-0012

Other providers in Lincoln, RI

All providers in Lincoln, RI · Physical Therapist in Rhode Island

Sources for this page

Verify at the official NPI Registry.