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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
25187 | MA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
41 Briar Ave, Lowell, MA 018521641 | 9787615322 |
Street Address |
484 MAIN ST STE 600 |
City | WORCESTER |
State | MA |
Zip Code | 01608-1881 |
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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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 Code | 2081S0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Sports Medicine |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851823165 | Lauren Wilmot | Physical Medicine & Rehabilitation | 102 Shore Dr Ste 104, Worcester, MA 01605-3154 | 2017-03-28 |
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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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.