DR. KEITH GARRETT WADE (NPI# 1982060091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982060091 |
| Entity Type | Individual |
| Full Name | DR. KEITH GARRETT WADE |
| Credential | DC |
| Practice Address |
362 Belmont St Brockton MA 02301-4950 |
| Mailing Address |
1 Credit Union Way Fl 3 Randolph MA 02368-4633 |
| Practice Telephone | 5085846622 |
| Practice Fax Number | 5085847744 |
| Mailing Telephone | 7819613370 |
| Mailing Fax Number | 7819611291 |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2019-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3623 | MA | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 2031 | CT | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 012786 | NY | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841401528 | Keith Alan Wade | Physical Therapist | 142 Church St, Newton, MA 02458-2004 | 2007-05-24 |
| 1649304361 | Keith Wade | Dentist | 101 Main St S, Box 640, Bethlehem, CT 06751-2032 | 2007-03-15 |
| Street Address |
362 BELMONT ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-4950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205818184 | Francis Gilson | Chiropractor | 362 Belmont St, Brockton, MA 02301-4950 | 2005-11-16 |
| 1104427103 | Grace Mccormick | Physical Therapist | 362 Belmont St, Brockton, MA 02301-4950 | 2020-11-05 |
| 1083065833 | Olabisi Oyarekua | Physical Therapist | 362 Belmont St, Brockton, MA 02301-4950 | 2016-06-23 |
| 1467819466 | Sara Linden | Physical Therapist | 362 Belmont St, Brockton, MA 02301-4950 | 2016-01-21 |
| 1255702825 | Zachary Plug | Physical Therapist | 362 Belmont St, Brockton, MA 02301-4950 | 2015-10-08 |
| 1619353216 | Amelia Foster | Physical Therapist | 362 Belmont St, Brockton, MA 02301-4950 | 2015-08-05 |
| 1437589231 | Travis Cover | Physical Therapist | 362 Belmont St, Brockton, MA 02301-4950 | 2013-11-15 |
| 1538407523 | Sheron Anastasia Dsouza | Physical Therapist | 362 Belmont St, Brockton, MA 02301-4950 | 2013-01-25 |
| 1457635765 | Amy Fanning | Physical Therapist | 362 Belmont St, Brockton, MA 02301-4950 | 2011-10-05 |
| 1912287293 | Catherine Schroeder | Physical Therapist | 362 Belmont St, Brockton, MA 02301-4950 | 2011-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700916459 | Erin L. Cheslock | Chiropractor | 47 W Elm St, Suite 208, Brockton, MA 02301-4332 | 2007-03-06 |
| 1578627154 | Larry Edward White | Chiropractor | 787 Pearl St, Brockton, MA 02301-4425 | 2006-12-20 |
| 1326109968 | Gregory Peter Perron | Chiropractor | 990 Pleasant St, Brockton, MA 02356 | 2006-12-13 |
| 1770644999 | Joseph P. Shamatta | Chiropractor | 605 Centre St, Brockton, MA 02302-3326 | 2006-12-12 |
| 1902991490 | Daniel Bryon Denning | Chiropractor | 340 Pleasant Street, Brockton, MA 02301 | 2006-10-03 |
| 1447357637 | New England Chiropractic | Chiropractor | 121 Torrey Street, Brockton, MA 02301 | 2006-09-20 |
| 1790719862 | Kristy Lynn Hannon | Chiropractor | 365 Westgate Drive, Ste 3 & 4, Brockton, MA 02301 | 2006-07-11 |
| 1427023050 | Claudia Defino | Chiropractor | 450 Pleasant St, Brockton, MA 02301-2536 | 2006-02-17 |
| 1205818184 | Francis Gilson | Chiropractor | 362 Belmont St, Brockton, MA 02301-4950 | 2005-11-16 |
| 1740673771 | Center City Chiropractic, Inc | Chiropractor | 793 N Main St, Brockton, MA 02301-2446 | 2015-03-16 |
| Find all providers in BROCKTON | ||||
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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.