Active NPIIndividual provider

Stephen J Bonaccorsi, LPTA

Physical Therapy Assistant in Wilmington, Massachusetts

NPI Number1063604106
Practice location
15 Wightman RD, Wilmington, MA 01887-3757
Fax
—
Last updated
August 13, 2007

Stephen J Bonaccorsi is a Physical Therapy Assistant based in Wilmington, MA. Stephen J Bonaccorsi practices in Wilmington, MA and has the professional credentials of LPTA. The NPI Number for Stephen J Bonaccorsi is 1063604106 and holds a License No. 3239 (MA). The current practice location address for Stephen J Bonaccorsi is 15 Wightman RD, Wilmington, MA 01887-3757 and can be reached out via phone at 978-658-7742.

Provider Profile Details

NPI Number
1063604106
Provider Name
Stephen J Bonaccorsi
Credential
LPTA
Provider Entity Type
Individual
Gender
Male
Address
15 Wightman RD, Wilmington, MA 01887-3757
Phone Number
978-658-7742
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
August 13, 2007
Last Update Date
August 13, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Wightman RD
Wilmington, MA 01887-3757
Zip
01887-3757
Phone Number
978-658-7742
Wilmington, MA 01887Get directions →

Provider Business Mailing Address Details

Address
15 Wightman RD
Wilmington, MA 01887-3757
City
Wilmington
State
MA
Zip
01887-3757
Phone Number
978-658-7742

License Information

License Number
3239
License State
MA
Taxonomy
Physical Therapy Assistant · 225200000X · 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 Stephen J Bonaccorsi, LPTA?

The NPI number of Stephen J Bonaccorsi, LPTA is 1063604106. It was assigned on August 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Stephen J Bonaccorsi, LPTA?

Stephen J Bonaccorsi, LPTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 3239.

Where does Stephen J Bonaccorsi, LPTA practice?

The practice location is 15 Wightman RD, Wilmington, MA 01887-3757. The office can be reached at 978-658-7742 (phone).

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 1063604106 directly on the NPPES registry website.

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