Jeremy Lichtman, PT
Physical Therapist in Randolph, Massachusetts
1073137287- Practice location
- 26 S Main St, Randolph, MA 02368-4821
- Phone
- 781-961-9200
- Fax
- 781-961-6599
- Last updated
- December 3, 2020
Jeremy Lichtman is a Physical Therapist based in Randolph, MA. Jeremy Lichtman practices in Randolph, MA and has the professional credentials of PT. The NPI Number for Jeremy Lichtman is 1073137287 and holds a License No. 24886 (MA). The current practice location address for Jeremy Lichtman is 26 S Main St, Randolph, MA 02368-4821 and can be reached out via phone at 781-961-9200 and via fax at 781-961-6599.
Provider Profile Details
- NPI Number
- 1073137287
- Provider Name
- Jeremy Lichtman
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 26 S Main St, Randolph, MA 02368-4821
- Phone Number
- 781-961-9200
- Fax Number
- 781-961-6599
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 3, 2020
- Last Update Date
- December 3, 2020
- Certification Date
- December 3, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 26 S Main St
Randolph, MA 02368-4821 - City
- Randolph
- State
- Massachusetts
- Zip
- 02368-4821
- Phone Number
- 781-961-9200
- Fax Number
- 781-961-6599
Provider Business Mailing Address Details
- Address
- 703 Granite St Ste 3
Braintree, MA 02184-5350 - City
- Braintree
- State
- MA
- Zip
- 02184-5350
- Phone Number
- 781-961-3370
- Fax Number
- 781-961-1291
License Information
- License Number
- 24886
- License State
- MA
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jeremy Lichtman, PT?
The NPI number of Jeremy Lichtman, PT is 1073137287. It was assigned on June 3, 2020 and is currently active in the NPPES registry.
What is the specialty of Jeremy Lichtman, PT?
Jeremy Lichtman, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 24886.
Where does Jeremy Lichtman, PT practice?
The practice location is 26 S Main St, Randolph, MA 02368-4821. The office can be reached at 781-961-9200 (phone) or 781-961-6599 (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 1073137287 directly on the NPPES registry website.