MICHELLE JANE MAILLOUX


Address: 484 Main St Ste 600, Worcester, MA 01608-1881
Phone: 8002442756

MICHELLE JANE MAILLOUX (NPI# 1316547201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316547201
Entity Type Individual
Full Name MICHELLE JANE MAILLOUX
Credential PT, DPT
Practice Address 484 Main St Ste 600
Worcester
MA 01608-1881
Mailing Address 41 Briar Ave
Lowell
MA 01852-1641
Practice Telephone 8002442756
Mailing Telephone 9787615322
Enumeration Date 2020-10-29
Last Update Date 2020-10-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081S0010X Physical Medicine & Rehabilitation
Specialization: Sports Medicine
25187 MA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
41 Briar Ave, Lowell, MA 018521641 9787615322

Office Location

Street Address 484 MAIN ST STE 600
City WORCESTER
State MA
Zip Code 01608-1881

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174704761 Ryan Whitney Occupational Therapist 484 Main St Ste 600, Worcester, MA 01608 2007-11-25
1952914749 Anna Schnizler Speech-Language Pathologist 484 Main St Ste 600, Worcester, MA 01608-1881 2020-08-31
1053942052 Elizabeth Josephine Marashi Occupational Therapist 484 Main St Ste 600, Worcester, MA 01608-1881 2020-01-29
1295373652 Amy Dicken Physical Therapy Assistant 484 Main St Ste 600, Worcester, MA 01608-1881 2019-12-17
1306497375 Donna Dung Physical Therapy Assistant 484 Main St Ste 600, Worcester, MA 01608-1881 2019-09-21
1609422591 Marguerite Jean Conners Deforge Occupational Therapist 484 Main St Ste 600, Worcester, MA 01608-1881 2019-08-15
1104472356 Heather Elizabeth Ball Student in an Organized Health Care Education/Training Program 484 Main St Ste 600, Worcester, MA 01608-1881 2019-08-14
1235796210 Megan Becker Speech-Language Pathologist 484 Main St Ste 600, Worcester, MA 01608-1874 2019-05-24
1669035424 Heather Lynne Thoman Occupational Therapist 484 Main St Ste 600, Worcester, MA 01608-1881 2019-04-17
1104382944 Jennifer Gallo Occupational Therapist 484 Main St Ste 600, Worcester, MA 01608-1881 2019-02-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033721733 Rebecca Smith Morgan Physical Therapist Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 2020-08-24
1083244057 Marc Labb Counselor 25 Union St 3rd Floor, Worcester, MA 01608 2020-01-18
1154974145 Shanil Shah Student in an Organized Health Care Education/Training Program St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 2019-07-19
1194377069 Varun Kommalapati Student in an Organized Health Care Education/Training Program St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 2019-07-11
1992361182 Jenna Recko Physical Therapy Assistant Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 2019-05-14
1619452646 Kara Thompson Registered Nurse 100 Martin Luther King Jr Blvd, Worcester, MA 01608 2018-09-25
1427555325 Baran Umut Vardar Student in an Organized Health Care Education/Training Program 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 2018-04-09
1609380765 Mary Elizabeth O'donnell Occupational Therapist Easter Seals Ma, 484 Main Street, Worcester, MA 01608 2017-11-28
1093227316 Oasis Home Care, LLC Home Health 340 Main St Ste 803, Worcester, MA 01608 2017-10-26
1912437500 Peter A Rondon Social Worker 11 Sycamore Street, Worcester, MA 01608 2017-06-15
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Taxonomy Information

Taxonomy Code 2081S0010X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Sports Medicine

Taxonomy Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851823165 Lauren Wilmot Physical Medicine & Rehabilitation 102 Shore Dr Ste 104, Worcester, MA 01605-3154 2017-03-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639777535 Kristina M Rossignoll Physical Medicine & Rehabilitation 14 Rutledge Rd, Peabody, MA 01960-3424 2020-10-13
1790277150 Amelia N Houghton Physical Medicine & Rehabilitation 25 Taunton St, Plainville, MA 02762-2188 2018-06-01
1659886968 Tessa Riccio Physical Medicine & Rehabilitation 1681 Washington St Ste 1, Braintree, MA 02184-7951 2017-12-08
1750567236 James Mcghee Physical Medicine & Rehabilitation 721 East Falmouth Highway, East Falmouth, MA 02536 2008-01-15
1811063803 Kennedy Brothers Physical Therapy Physical Medicine & Rehabilitation 505 Boylston St, Boston, MA 02116 2006-11-28
1386680809 Jesse Lee Dimick Physical Medicine & Rehabilitation 43 Redlands Rd, West Roxbury, MA 02132-1506 2006-06-22
1407824576 Maurice R Bernaiche Physical Medicine & Rehabilitation 483 Holyoke St, Ludlow, MA 01056-1934 2006-03-14
1811597123 Jennifer Hahne Physical Medicine & Rehabilitation 7 Reservoir Rd, Beverly, MA 01915-5501 2020-10-27
1134735392 Meredith Celine Harrington Physical Medicine & Rehabilitation 110 Liberty St, Brockton, MA 02301-5674 2020-09-22
1598375909 Denise Marie Peterson Romano Physical Medicine & Rehabilitation 123 High St, Topsfield, MA 01983-1921 2020-08-01
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Competitor

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City WORCESTER
Zip Code 01608

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Dataset Information

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.

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