ULTRACARE, P.C. (NPI# 1992125215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992125215 |
| Entity Type | Organization |
| Organization Name | ULTRACARE, P.C. |
| Practice Address |
157 Main St Brockton MA 02301-4012 |
| Mailing Address |
Po Box 4137 Brockton MA 02303-4137 |
| Practice Telephone | 5085104221 |
| Practice Fax Number | 5085105126 |
| Mailing Telephone | 5085104221 |
| Mailing Fax Number | 5085105126 |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2016-01-26 |
| Authorized Official Name | SHANNON PACHECO (BILLING/CREDENTIALING) |
| Authorized Official Telephone | 5086752840 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 174400000X | Specialist | Other Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972900553 | Ultracare, P.C. | Chiropractor | 157 Main St, Brockton, MA 02301-4012 | 2014-11-26 |
| 1154728731 | Ultracare, P.C. | Physical Therapist | 157 Main St, Brockton, MA 02301-4012 | 2014-11-26 |
| Street Address |
157 MAIN ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-4012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699721571 | Elizabeth Namala Bwogi | Midwife | 157 Main St, Brockton, MA 02301-4012 | 2006-05-25 |
| 1972163145 | Christina Campbell | Social Worker | 157 Main St, Brockton, MA 02301-4012 | 2019-06-19 |
| 1972900553 | Ultracare, P.C. | Chiropractor | 157 Main St, Brockton, MA 02301-4012 | 2014-11-26 |
| 1154728731 | Ultracare, P.C. | Physical Therapist | 157 Main St, Brockton, MA 02301-4012 | 2014-11-26 |
| 1124210174 | Pratice Murphy | Social Worker | 157 Main St, Brockton, MA 02301-4012 | 2007-08-14 |
| 1346391224 | Brockton Neighborhood Health Center | Health Maintenance Organization | 157 Main St, Brockton, MA 02301-4012 | 2007-01-16 |
| 1255482139 | Brockton Neighborhood Health Center | Clinic/Center | 157 Main St, Brockton, MA 02301-4012 | 2007-01-16 |
| 1538210307 | Heather Sarabia | Social Worker | 157 Main St, Brockton, MA 02301-4012 | 2007-01-16 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972132652 | Lindbergh Saladin | Physician Assistant | 63 Blendall St, Brockton, MA 02302-1741 | 2020-04-05 |
| 1750912754 | Marie Sonie Nelson | Physician Assistant | 31 Guild Rd, Brockton, MA 02302-3224 | 2020-01-28 |
| 1588949978 | John C Palfrey | Physician Assistant | 161 Mulberry St, Brockton, MA 02302-2010 | 2011-10-17 |
| 1144326968 | Mary Beth L. Maher | Physician Assistant | 325 N Pearl St Gsmc, Express Care, Brockton, MA 02301 | 2006-09-16 |
| 1770196396 | Samantha Lipsky | Physician Assistant | 680 Centre St, Brockton, MA 02302-3308 | 2020-08-24 |
| 1669096079 | Alyssa Marie Pasini | Physician Assistant | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-01 |
| 1346861531 | Aki Ishida | Physician Assistant | 680 Centre St, Brockton, MA 02302-3308 | 2020-04-29 |
| 1811523913 | Paige Graham | Physician Assistant | 235 N Pearl St, Brockton, MA 02301-1794 | 2020-03-20 |
| 1891321055 | Christin Newman Hoffstadt | Physician Assistant | 35 Pearl St Ste 200, Brockton, MA 02301-2866 | 2020-03-19 |
| 1922658632 | Kevin Lynch Johnson | Physician Assistant | 680 Centre St, Brockton, MA 02302 | 2019-09-14 |
| Find all providers in BROCKTON | ||||
Please comment or provide details below to improve the information on ULTRACARE, P.C..
| 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.