Active NPIIndividual provider

Kelly A Facteau, PT

Physical Therapist in Nantucket, Massachusetts

NPI Number1003398546
Practice location
6 Bayberry CT, Nantucket, MA 02554-4039
Fax
508-825-8198
Last updated
August 31, 2018

Kelly Ann Facteau is a Physical Therapist based in Nantucket, MA. Kelly Ann Facteau practices in Nantucket, MA and has the professional credentials of PT. The NPI Number for Kelly Ann Facteau is 1003398546 and holds a License No. 01215 (RI). The current practice location address for Kelly Ann Facteau is 6 Bayberry CT, Nantucket, MA 02554-4039 and can be reached out via phone at 508-825-8191 and via fax at 508-825-8198.

Provider Profile Details

NPI Number
1003398546
Provider Name
Kelly Ann Facteau
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
6 Bayberry CT, Nantucket, MA 02554-4039
Phone Number
508-825-8191
Fax Number
508-825-8198
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 31, 2018
Last Update Date
August 31, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Bayberry CT
Nantucket, MA 02554-4039
Zip
02554-4039
Phone Number
508-825-8191
Fax Number
508-825-8198
Nantucket, MA 02554Get directions →

Provider Business Mailing Address Details

Address
Po Box 7619
Siasconset, MA 02564-7619
City
Siasconset
State
MA
Zip
02564-7619
Phone Number
508-642-0003

License Information

License Number (1)
01215
License State (1)
RI
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
4343
License State (2)
NH
Taxonomy (2)
Physical Therapist · 225100000X
License Number (3)
11004
License State (3)
MA
Taxonomy (3)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly A Facteau, PT?

The NPI number of Kelly A Facteau, PT is 1003398546. It was assigned on August 31, 2018 and is currently active in the NPPES registry.

What is the specialty of Kelly A Facteau, PT?

Kelly A Facteau, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in RI under license number 01215.

Where does Kelly A Facteau, PT practice?

The practice location is 6 Bayberry CT, Nantucket, MA 02554-4039. The office can be reached at 508-825-8191 (phone) or 508-825-8198 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003398546 directly on the NPPES registry website.

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