John C. Breen, M.S. , P.T. – Physical Therapist

Key facts

NPI: 1962576207
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 5162 (MA)
Practice address: 160 N Main St
Carver, MA 02330-1027
Phone: (508) 866-1003
Fax: (508) 866-7118
NPI assigned: Nov 20, 2006
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.

John C Breen PC Physical Therapy Clinic/Center · Kingston, MA · NPI 1215935572

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Master of Science

State licenses

License	State	Type	Specialty
5162	MA	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
John C Breen PC		Past since Jan 1, 1990	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist	174400000X	5162	MA
Physical Therapist	225100000X	5162	MA	Yes

Addresses

Primary practice location

160 N Main St
Carver, MA 02330-1027

Mailing address

1 Credit Union Way FL 3
Randolph, MA 02368-4633
Phone (781) 961-3370

Other identifiers

Identifier	Type	State	Issuer
Y65702	Other	MA	PROVIDER NUMBER

Other providers in Carver, MA

All providers in Carver, 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 15, 2019. 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.

Verify at the official NPI Registry.