BD PHYSICAL THERAPY INC (NPI# 1053743211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053743211 |
| Entity Type | Organization |
| Organization Name | BD PHYSICAL THERAPY INC |
| Practice Address |
63 S Main St Suite A Randolph MA 02368-4862 |
| Practice Telephone | 7819614460 |
| Practice Fax Number | 7819863650 |
| Mailing Telephone | 7819614460 |
| Mailing Fax Number | 7819863650 |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2014-08-12 |
| Authorized Official Name | CRAIG DAVIES (OWNER) |
| Authorized Official Telephone | 7819614460 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
63 S MAIN ST SUITE A |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-4862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659772036 | Santresa Greenidge | Physical Therapist | 63 S Main St, Suite 2, Randolph, MA 02368-4862 | 2014-09-04 |
| 1710386263 | Noam Segal | Physical Therapist | 63 S Main St, Randolph, MA 02368-4862 | 2014-08-21 |
| 1164821617 | Emily St. Pierre | Physical Therapist | 63 S Main St, Randolph, MA 02368-4862 | 2014-08-21 |
| 1780976241 | Tamara Souza | Physical Therapist | 63 S Main St, Randolph, MA 02368-4862 | 2011-05-03 |
| 1609167550 | Kelly Cronin | Physical Therapist | 63 S Main St, Randolph, MA 02368-4862 | 2011-04-27 |
| 1699076075 | Mary Jane Krupa-foy | Mechanotherapist | 63 S Main St, Suite C, Randolph, MA 02368-4820 | 2010-11-16 |
| 1508081910 | John F Barbati | Chiropractor | 63 S Main St, Randolph, MA 02368-4820 | 2007-04-13 |
| 1558416354 | Katherine Glynn Montmeny | Physical Therapist | 63 S Main St, Randolph, MA 02368-4820 | 2007-01-24 |
| 1366459919 | Adam Bohmiller | Physical Therapist | 63 S Main St, Randolph, MA 02368-4820 | 2006-08-02 |
| 1700802741 | Daniel Middleton | Physical Therapist | 63 S Main St, Randolph, MA 02368-4820 | 2006-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851930028 | Core Physical Therapy & Performance, LLC | Clinic/Center | 11 Randolph Rd, Randolph, MA 02368-4321 | 2020-01-05 |
| 1528218633 | Exercise Rx Physical Therapy LLC | Clinic/Center | 15 Pacella Park Dr, Suite 110, Randolph, MA 02368-1700 | 2008-09-25 |
| 1033742218 | Life Is Good Physical Therapy PC | Clinic/Center | 55 Meadowbrook Rd, Randolph, NJ 07869-3800 | 2020-02-17 |
| 1730720822 | Par 5 Physical Therapy | Clinic/Center | 1572 Sussex Tpke Unit D, Randolph, NJ 07869-1822 | 2019-10-01 |
| 1023360740 | Whole Health Physical Therapy | Clinic/Center | 765 Route 10 E, Suite 106, Randolph, NJ 07869-1925 | 2012-10-04 |
| 1861711905 | Mt. Freedom Physical Therapy Pa | Clinic/Center | 10 W Hanover Ave, Randolph, NJ 07869-4221 | 2010-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518448 | Shira Lauren Dragun | Clinic/Center | 63 1/2 Jefferson Ave, Salem, MA 01970-2975 | 2020-11-03 |
| 1518564566 | Ann Pappas Physical Therapy | Clinic/Center | 470 Washington St Ste 31, Norwood, MA 02062-2343 | 2020-10-02 |
| 1538786272 | Neurologic Optimal Wellness Physical Therapy LLC | Clinic/Center | 180 King St, Springfield, MA 01109-4316 | 2020-06-29 |
| 1689297525 | Full Spectrum Physical Therapy and Performance, LLC | Clinic/Center | 17 Cannongate Rd Apt 83, Tyngsboro, MA 01879-1413 | 2020-05-27 |
| 1992328421 | Adam Auto Accident Physio Doctor,inc | Clinic/Center | 1011 Beacon St Ste 1, Brookline, MA 02446-5696 | 2020-05-19 |
| 1952938839 | Jessica Moy Wellness LLC | Clinic/Center | 255 Massachusetts Ave Apt 204, Boston, MA 02115-3511 | 2020-03-23 |
| 1598390940 | The Method Performance and Physical Therapy LLC | Clinic/Center | 378 North St Apt 2, Boston, MA 02113-2143 | 2020-03-05 |
| 1104458785 | Olender Physical Therapy, LLC | Clinic/Center | 316 Washington St Ste 1, Wellesley, MA 02481-4959 | 2020-02-11 |
| 1316585482 | Healthworks Med Group of Massachusetts P C | Clinic/Center | 157 Berkeley St, Boston, MA 02116-5108 | 2019-12-19 |
| 1679123905 | Jillian C, Dpt | Clinic/Center | 663 Boston St Apt 6, Lynn, MA 01905-1970 | 2019-09-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.