Active NPIIndividual providerSole proprietor

Mrs. Mary S Waters, PTA

Physical Therapy Assistant in Bourne, Massachusetts

NPI Number1396861803
Practice location
8 Lewis Point RD, Bourne, MA 02532-5613
Fax
508-759-3628
Last updated
July 8, 2007

Mary Scienzo Waters is a Physical Therapy Assistant based in Bourne, MA. Mary Scienzo Waters practices in Bourne, MA and has the professional credentials of PTA. The NPI Number for Mary Scienzo Waters is 1396861803 and holds a License No. 2470 (MA). The current practice location address for Mary Scienzo Waters is 8 Lewis Point RD, Bourne, MA 02532-5613 and can be reached out via phone at 508-743-8120 and via fax at 508-759-3628.

Provider Profile Details

NPI Number
1396861803
Provider Name
Mary Scienzo Waters
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
8 Lewis Point RD, Bourne, MA 02532-5613
Phone Number
508-743-8120
Fax Number
508-759-3628
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
March 22, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
8 Lewis Point RD
Bourne, MA 02532-5613
City
Bourne
Zip
02532-5613
Phone Number
508-743-8120
Fax Number
508-759-3628
Bourne, MA 02532Get directions →

Provider Business Mailing Address Details

Address
29 Oakley Ave
Bourne, MA 02532-2113
City
Bourne
State
MA
Zip
02532-2113
Phone Number
508-759-9438

License Information

License Number
2470
License State
MA
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physical Therapy Assistants near Bourne, MA

View all Physical Therapy Assistants in Bourne →

Frequently Asked Questions

What is the NPI number of Mrs. Mary S Waters, PTA?

The NPI number of Mrs. Mary S Waters, PTA is 1396861803. It was assigned on March 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Mary S Waters, PTA?

Mrs. Mary S Waters, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 2470.

Where does Mrs. Mary S Waters, PTA practice?

The practice location is 8 Lewis Point RD, Bourne, MA 02532-5613. The office can be reached at 508-743-8120 (phone) or 508-759-3628 (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 1396861803 directly on the NPPES registry website.

Browse related providers