Bennett Oliver Shake (NPI# 1235648866, PAC ID# 0749548071) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1235648866 |
| PAC ID by PECOS | 0749548071 |
| Professional Enrollment ID | I20171214002057 |
| Full Name | Bennett Oliver Shake |
| Organization Legal Name | BACK ON TRACK, P.C. |
| Address |
5 Bennett St Cambridge MA 02138-5750 |
| Phone Number | 6174410800 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9830179365 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1180 Beacon St, Suite 6c, Brookline, MA 02446-3806 | 6177305337 | BACK ON TRACK, P.C. |
| 5 Bennett St, Cambridge, MA 02138-5750 | 6174410800 | BACK ON TRACK, P.C. |
| Organization Legal Name | BACK ON TRACK, P.C. |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan E Gray | Physical Therapy | Back On Track, P.C. | 249 Lexington St, Waltham, MA 02452-4621 |
| Jamie M Bloom | Physical Therapy | Back On Track, P.C. | 186 Great Rd, Bedford, MA 01730-2710 |
| Abigail L Daunis | Physical Therapy | Back On Track, P.C. | 575 Memorial Dr, Cambridge, MA 02139-4814 |
| Harold Huang | Physical Therapy | Back On Track, P.C. | 44 Middlesex Tpke, Bedford, MA 01730-1404 |
| Jocelyn Cacciapuoti | Physical Therapy | Back On Track, P.C. | 1180 Beacon St, Suite 6c, Brookline, MA 02446-3806 |
| Conlan Brown | Physical Therapy | Back On Track, P.C. | 5 Bennett St, Cambridge, MA 02138-5750 |
| Paul J Salvi | Physical Therapy | Back On Track, P.C. | 1180 Beacon St, Suite 6c, Brookline, MA 02446-3806 |
| Giana Maria Pagliocco | Physical Therapy | Back On Track, P.C. | 1180 Beacon St, Suite 6c, Brookline, MA 02446-3806 |
| Anthony Percoco | Physical Therapy | Back On Track, P.C. | 1180 Beacon St, Suite 6c, Brookline, MA 02446-3806 |
| Heather Rachelle White | Physical Therapy | Back On Track, P.C. | 5 Bennett St, Cambridge, MA 02138-5750 |
| Street Address |
5 BENNETT ST |
| City | CAMBRIDGE |
| State | MA |
| Zip | 02138-5750 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Conlan Brown | Physical Therapy | Back On Track, P.C. | 5 Bennett St, Cambridge, MA 02138-5750 |
| Heather Rachelle White | Physical Therapy | Back On Track, P.C. | 5 Bennett St, Cambridge, MA 02138-5750 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grace M Williams | Clinical Social Worker | 158 Mt Auburn St, Cambridge, MA 02138 | |
| Germaine Earle Cruickshanks | Obstetrics/gynecology | Mt Auburn Professional Services | 300 Mt Auburn St, Cambridge, MA 02138 |
| Lawrence Francis Borges Jr. | Gastroenterology | Mt Auburn Professional Services | 300 Mt Auburn St, Cambridge, MA 02138 |
| Amanda L Livingston | Internal Medicine | Mt Auburn Professional Services | 300 Mt Auburn St, Suite 410, Cambridge, MA 02138 |
| Stephen P Ranere | Internal Medicine | Mt Auburn Professional Services | 300 Mt Auburn St, Cambridge, MA 02138 |
| William R Brugge | Gastroenterology | Mt Auburn Professional Services | 300 Mt Auburn St, Cambridge, MA 02138 |
| Mary E Rhinehart | Internal Medicine | Mt Auburn Professional Services | 300 Mt Auburn St, Cambridge, MA 02138 |
| Rashmi Kaura | Hospice/palliative Care | Mt Auburn Professional Services | 300 Mt Auburn St, Suite 517, Cambridge, MA 02138 |
| Arthur Shushan | Internal Medicine | Mt Auburn Professional Services | 300 Mt Auburn St, Cambridge, MA 02138 |
| Jean Fechheimer | Obstetrics/gynecology | Mt Auburn Professional Services | 300 Mt Auburn St, Cambridge, MA 02138 |
| Find all physicians in zip 02138 | |||
| City | CAMBRIDGE |
| Zip Code | 02138 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CAMBRIDGE + 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.