Active NPIIndividual provider

Frederick J Macmullen

Physical Therapy Assistant in Waterbury, Connecticut

NPI Number1205189271
Practice location
22 Tompkins St, Waterbury, CT 06708-1458
Fax
203-419-0389
Last updated
October 16, 2012

Frederick J Macmullen is a Physical Therapy Assistant based in Waterbury, CT. Frederick J Macmullen practices in Waterbury, CT. The NPI Number for Frederick J Macmullen is 1205189271 and holds a License No. 356 (CT). The current practice location address for Frederick J Macmullen is 22 Tompkins St, Waterbury, CT 06708-1458 and can be reached out via phone at 203-419-0381 and via fax at 203-419-0389.

Provider Profile Details

NPI Number
1205189271
Provider Name
Frederick J Macmullen
Provider Entity Type
Individual
Gender
Male
Address
22 Tompkins St, Waterbury, CT 06708-1458
Phone Number
203-419-0381
Fax Number
203-419-0389
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
October 16, 2012
Last Update Date
October 16, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Tompkins St
Waterbury, CT 06708-1458
Zip
06708-1458
Phone Number
203-419-0381
Fax Number
203-419-0389
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
22 Tompkins St
Waterbury, CT 06708-1458
City
Waterbury
State
CT
Zip
06708-1458
Phone Number
203-419-0381
Fax Number
203-419-0389

License Information

License Number
356
License State
CT
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 Frederick J Macmullen?

The NPI number of Frederick J Macmullen is 1205189271. It was assigned on October 16, 2012 and is currently active in the NPPES registry.

What is the specialty of Frederick J Macmullen?

Frederick J Macmullen is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in CT under license number 356.

Where does Frederick J Macmullen practice?

The practice location is 22 Tompkins St, Waterbury, CT 06708-1458. The office can be reached at 203-419-0381 (phone) or 203-419-0389 (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 1205189271 directly on the NPPES registry website.

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