Active NPIIndividual providerSole proprietor

Mr. Justin M Pezick, PT, DPT, ATC, CSCS

Physical Therapist in Bedford, Massachusetts

NPI Number1144656166
Practice location
54 Middlesex Tpke Ste 101L, Bedford, MA 01730
Fax
781-229-8374
Last updated
March 13, 2019

Justin Marshall Pezick is a Physical Therapist based in Bedford, MA. Justin Marshall Pezick practices in Bedford, MA and has the professional credentials of PT, DPT, ATC, CSCS. The NPI Number for Justin Marshall Pezick is 1144656166 and holds a License No. 20748 (MA). The current practice location address for Justin Marshall Pezick is 54 Middlesex Tpke Ste 101L, Bedford, MA 01730 and can be reached out via phone at 781-229-8011 and via fax at 781-229-8374.

Provider Profile Details

NPI Number
1144656166
Provider Name
Justin Marshall Pezick
Credential
PT, DPT, ATC, CSCS
Provider Entity Type
Individual
Gender
Male
Address
54 Middlesex Tpke Ste 101L, Bedford, MA 01730
Phone Number
781-229-8011
Fax Number
781-229-8374
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
September 23, 2013
Last Update Date
March 13, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
54 Middlesex Tpke Ste 101L
Bedford, MA 01730
Zip
01730
Phone Number
781-229-8011
Fax Number
781-229-8374
Bedford, MA 01730Get directions →

Provider Business Mailing Address Details

Address
54 Middlesex Tpke Ste 101L
Bedford, MA 01730-1417
City
Bedford
State
MA
Zip
01730-1417
Phone Number
781-229-8011
Fax Number
781-229-8374

License Information

License Number (1)
20748
License State (1)
MA
Taxonomy (1)
Clinic/Center, Physical Therapy · 261QP2000X
License Number (2)
20748
License State (2)
MA
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 Mr. Justin M Pezick, PT, DPT, ATC, CSCS?

The NPI number of Mr. Justin M Pezick, PT, DPT, ATC, CSCS is 1144656166. It was assigned on September 23, 2013 and is currently active in the NPPES registry.

What is the specialty of Mr. Justin M Pezick, PT, DPT, ATC, CSCS?

Mr. Justin M Pezick, PT, DPT, ATC, CSCS is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 20748.

Where does Mr. Justin M Pezick, PT, DPT, ATC, CSCS practice?

The practice location is 54 Middlesex Tpke Ste 101L, Bedford, MA 01730. The office can be reached at 781-229-8011 (phone) or 781-229-8374 (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 1144656166 directly on the NPPES registry website.

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