Mr. Jerry C Neistadt, MSPT
Physical Therapist in Melrose, Massachusetts
1104027317- Practice location
- 22 Corey St, Melrose, MA 02176-4621
- Phone
- 781-979-3165
- Fax
- 781-979-3189
- Last updated
- July 8, 2007
Jerry Charles Neistadt is a Physical Therapist based in Melrose, MA. Jerry Charles Neistadt practices in Melrose, MA and has the professional credentials of MSPT. The NPI Number for Jerry Charles Neistadt is 1104027317 and holds a License No. 10270 (MA). The current practice location address for Jerry Charles Neistadt is 22 Corey St, Melrose, MA 02176-4621 and can be reached out via phone at 781-979-3165 and via fax at 781-979-3189.
Provider Profile Details
- NPI Number
- 1104027317
- Provider Name
- Jerry Charles Neistadt
- Credential
- MSPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 22 Corey St, Melrose, MA 02176-4621
- Phone Number
- 781-979-3165
- Fax Number
- 781-979-3189
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 29, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Corey St
Melrose, MA 02176-4621 - City
- Melrose
- State
- Massachusetts
- Zip
- 02176-4621
- Phone Number
- 781-979-3165
- Fax Number
- 781-979-3189
Provider Business Mailing Address Details
- Address
- 72 Danforth CT
Haverhill, MA 01832-1195 - City
- Haverhill
- State
- MA
- Zip
- 01832-1195
- Phone Number
- 978-521-5386
License Information
- License Number
- 10270
- 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 Mr. Jerry C Neistadt, MSPT?
The NPI number of Mr. Jerry C Neistadt, MSPT is 1104027317. It was assigned on May 29, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Jerry C Neistadt, MSPT?
Mr. Jerry C Neistadt, MSPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 10270.
Where does Mr. Jerry C Neistadt, MSPT practice?
The practice location is 22 Corey St, Melrose, MA 02176-4621. The office can be reached at 781-979-3165 (phone) or 781-979-3189 (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 1104027317 directly on the NPPES registry website.