Active NPIIndividual provider

Robert Mcdonnell, MSPT, MDT

Physical Therapist in Chicopee, Massachusetts

NPI Number1104868900
Practice location
591 Memorial Dr, Suite H, Chicopee, MA 01020-5024
Fax
413-377-3178
Last updated
May 3, 2017

Robert Mcdonnell is a Physical Therapist based in Chicopee, MA. Robert Mcdonnell practices in Chicopee, MA and has the professional credentials of MSPT, MDT. The NPI Number for Robert Mcdonnell is 1104868900 and holds a License No. J10001531 (DE). The current practice location address for Robert Mcdonnell is 591 Memorial Dr, Suite H, Chicopee, MA 01020-5024 and can be reached out via phone at 413-331-1625 and via fax at 413-377-3178.

Provider Profile Details

NPI Number
1104868900
Provider Name
Robert Mcdonnell
Credential
MSPT, MDT
Provider Entity Type
Individual
Gender
Male
Address
591 Memorial Dr, Suite H, Chicopee, MA 01020-5024
Phone Number
413-331-1625
Fax Number
413-377-3178
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
June 13, 2006
Last Update Date
May 3, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
591 Memorial Dr
Suite H
Chicopee, MA 01020-5024
Zip
01020-5024
Phone Number
413-331-1625
Fax Number
413-377-3178
Chicopee, MA 01020Get directions →

Provider Business Mailing Address Details

Address
790 Remington Blvd
Bolingbrook, IL 60440-4909
City
Bolingbrook
State
IL
Zip
60440-4909

License Information

License Number (1)
J10001531
License State (1)
DE
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
PT014034L
License State (2)
PA
Taxonomy (2)
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 Robert Mcdonnell, MSPT, MDT?

The NPI number of Robert Mcdonnell, MSPT, MDT is 1104868900. It was assigned on June 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Robert Mcdonnell, MSPT, MDT?

Robert Mcdonnell, MSPT, MDT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in DE under license number J10001531.

Where does Robert Mcdonnell, MSPT, MDT practice?

The practice location is 591 Memorial Dr, Suite H, Chicopee, MA 01020-5024. The office can be reached at 413-331-1625 (phone) or 413-377-3178 (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 1104868900 directly on the NPPES registry website.

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