Active NPIIndividual provider

Ms. Elena E Brousseau, PT

Physical Therapist in Malden, Massachusetts

NPI Number1306957022
Practice location
350 Main St, Commerce Place Mcgovern PT, Malden, MA 02148-5089
Fax
781-321-4995
Last updated
March 22, 2013

Elena Emilie Brousseau is a Physical Therapist based in Malden, MA. Elena Emilie Brousseau practices in Malden, MA and has the professional credentials of PT. The NPI Number for Elena Emilie Brousseau is 1306957022 and holds a License No. 8650 (MA). The current practice location address for Elena Emilie Brousseau is 350 Main St, Commerce Place Mcgovern PT, Malden, MA 02148-5089 and can be reached out via phone at 781-321-2727 and via fax at 781-321-4995.

Provider Profile Details

NPI Number
1306957022
Provider Name
Elena Emilie Brousseau
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
350 Main St, Commerce Place Mcgovern PT, Malden, MA 02148-5089
Phone Number
781-321-2727
Fax Number
781-321-4995
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Other Names
-- Elena Emilie Johnson, PT (Former Name)
Provider Enumeration Date
August 31, 2006
Last Update Date
March 22, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
350 Main St
Commerce Place Mcgovern PT
Malden, MA 02148-5089
City
Malden
Zip
02148-5089
Phone Number
781-321-2727
Fax Number
781-321-4995
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
350 Main Street
Commerce Place Mcgovern PT
Malden, MA 02148
City
Malden
State
MA
Zip
02148
Phone Number
781-321-2727
Fax Number
781-321-4995

License Information

License Number
8650
License State
MA
Taxonomy
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 Ms. Elena E Brousseau, PT?

The NPI number of Ms. Elena E Brousseau, PT is 1306957022. It was assigned on August 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Elena E Brousseau, PT?

Ms. Elena E Brousseau, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 8650.

Where does Ms. Elena E Brousseau, PT practice?

The practice location is 350 Main St, Commerce Place Mcgovern PT, Malden, MA 02148-5089. The office can be reached at 781-321-2727 (phone) or 781-321-4995 (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 1306957022 directly on the NPPES registry website.

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