Active NPIIndividual provider

Benjamin Rose, DPT

Physical Therapist in Dorchester, Massachusetts

NPI Number1356894653
Practice location
540 Gallivan Blvd Fl 2ND, Dorchester, MA 02124-5400
Fax
617-282-9988
Last updated
June 24, 2020

Benjamin Rose is a Physical Therapist based in Dorchester, MA. Benjamin Rose practices in Dorchester, MA and has the professional credentials of DPT. The NPI Number for Benjamin Rose is 1356894653 and holds a License No. 22442 (MA). The current practice location address for Benjamin Rose is 540 Gallivan Blvd Fl 2ND, Dorchester, MA 02124-5400 and can be reached out via phone at 617-282-8080 and via fax at 617-282-9988.

Provider Profile Details

NPI Number
1356894653
Provider Name
Benjamin Rose
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
540 Gallivan Blvd Fl 2ND, Dorchester, MA 02124-5400
Phone Number
617-282-8080
Fax Number
617-282-9988
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 3, 2016
Last Update Date
June 24, 2020
Certification Date
June 24, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
540 Gallivan Blvd Fl 2ND
Dorchester, MA 02124-5400
Zip
02124-5400
Phone Number
617-282-8080
Fax Number
617-282-9988
Dorchester, MA 02124Get directions →

Provider Business Mailing Address Details

Address
1 Credit Union Way Fl 3
Randolph, MA 02368-4633
City
Randolph
State
MA
Zip
02368-4633
Phone Number
781-961-3370
Fax Number
781-961-1291

License Information

License Number
22442
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 Benjamin Rose, DPT?

The NPI number of Benjamin Rose, DPT is 1356894653. It was assigned on August 3, 2016 and is currently active in the NPPES registry.

What is the specialty of Benjamin Rose, DPT?

Benjamin Rose, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 22442.

Where does Benjamin Rose, DPT practice?

The practice location is 540 Gallivan Blvd Fl 2ND, Dorchester, MA 02124-5400. The office can be reached at 617-282-8080 (phone) or 617-282-9988 (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 1356894653 directly on the NPPES registry website.

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