Holly Petersen (NPI# 1114230547, PAC ID# 0648589515) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1114230547 |
| PAC ID by PECOS | 0648589515 |
| Professional Enrollment ID | I20151015000116 |
| Full Name | Holly Petersen |
| Organization Legal Name | BAY STATE PHYSICAL THERAPY OF RANDOLPH PC |
| Address |
156 Andover St Suite 2 Danvers MA 01923-1468 |
| Phone Number | 9787678343 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6305744251 |
| Number of Group Practice Members | 149 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 156 Andover St, Suite 2, Danvers, MA 01923-1468 | 9787678343 | BAY STATE PHYSICAL THERAPY OF RANDOLPH PC |
| Organization Legal Name | BAY STATE PHYSICAL THERAPY OF RANDOLPH PC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jared Wydysh | Physical Therapy | Bay State Physical Therapy of Randolph PC | 55 Northeastern Blvd, Nashua, NH 03062-3131 |
| Amy Sotomayor | Physical Therapy | Bay State Physical Therapy of Randolph PC | 191 Watertown St, Watertown, MA 02472-2571 |
| Erica Donnelly | Physical Therapy | Bay State Physical Therapy of Randolph PC | 892 Plain St, Marshfield, MA 02050-2191 |
| Philip Welsh | Physical Therapy | Bay State Physical Therapy of Randolph PC | 141 Longwater Dr, Suite 109, Norwell, MA 02061-1620 |
| Elizabeth Flaherty | Physical Therapy | Bay State Physical Therapy of Randolph PC | 1290 Tremont St, Fl 5, Boston, MA 02120-3432 |
| Jonathan Kahane | Physical Therapy | Bay State Physical Therapy of Randolph PC | 123 Waterhouse Rd, Suite 204, Bourne, MA 02532-3890 |
| Cara C Davis | Physical Therapy | Bay State Physical Therapy of Randolph PC | 75 Finnell Dr, Weymouth, MA 02188-1110 |
| Katherine A. Moriarty | Physical Therapy | Bay State Physical Therapy of Randolph PC | 186 Summer St, Kingston, MA 02364-1282 |
| Constance Frierson | Physical Therapy | Bay State Physical Therapy of Randolph PC | 40 Centre St, Concord, NH 03301-4214 |
| Alyssa Williamson | Physical Therapy | Bay State Physical Therapy of Randolph PC | 254 Essex St, Beverly, MA 01915-1944 |
| Street Address |
156 ANDOVER ST SUITE 2 |
| City | DANVERS |
| State | MA |
| Zip | 01923-1468 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Ruff | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 156 Andover St, Unit 2, Danvers, MA 01923-1468 |
| Melanie Snyder | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 156 Andover St, Unit 2, Danvers, MA 01923-1468 |
| Kathleen Murphy | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 156 Andover St, Unit 2, Danvers, MA 01923-1468 |
| Alison Bertone | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 156 Andover St, Unit 2, Danvers, MA 01923-1468 |
| Sharon Godbout | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 156 Andover St, Unit 2, Danvers, MA 01923-1468 |
| Meghan C Taber | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 156 Andover St, Unit 2, Danvers, MA 01923-1468 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Nolan | Chiropractic | William R Nolan Jr Dc, 15 Cherry Street, Danvers, MA 01923 | |
| Anastasiya V Ruskevich | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 311 Newbury St, Danvers, MA 01923-1027 |
| Karleny P Foley | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 311 Newbury St, Danvers, MA 01923-1027 |
| Rachel R Green | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 311 Newbury St, Danvers, MA 01923-1027 |
| Monica W Wisco | Clinical Social Worker | 435 Newbury St, Suite 210, Danvers, MA 01923-1065 | |
| Danielle Zabel | Psychologist, Clinical | 435 Newbury St, Suite 220, Danvers, MA 01923-1065 | |
| Robin L Dunlea | Clinical Social Worker | 435 Newbury St, Suite 210, Danvers, MA 01923-1065 | |
| Courtney J Conroy | Clinical Social Worker | 435 Newbury St, Suite 210, Danvers, MA 01923-1065 | |
| Richard M Aberman | Clinical Social Worker | 435 Newbury St, Suite 220, Danvers, MA 01923-1065 | |
| Leslie A Toner | Clinical Social Worker | 435 Newbury St, Suite 220, Danvers, MA 01923-1065 | |
| Find all physicians in zip 01923 | |||
| City | DANVERS |
| Zip Code | 01923 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | DANVERS + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.