Active NPIIndividual provider

Meredith R Izzicupo, PT, DPT, SCS

Physical Therapist in Somerville, Massachusetts

NPI Number1457786204
Practice location
5 Middlesex Ave, Cambridge Health Alliance, Somerville, MA 02145
Fax
—
Last updated
February 27, 2019

Meredith R Izzicupo is a Physical Therapist based in Somerville, MA. Meredith R Izzicupo practices in Somerville, MA and has the professional credentials of PT, DPT, SCS. The NPI Number for Meredith R Izzicupo is 1457786204 and holds a License No. 20685 (MA). The current practice location address for Meredith R Izzicupo is 5 Middlesex Ave, Cambridge Health Alliance, Somerville, MA 02145 and can be reached out via phone at 617-591-4660.

Provider Profile Details

NPI Number
1457786204
Provider Name
Meredith R Izzicupo
Credential
PT, DPT, SCS
Provider Entity Type
Individual
Gender
Female
Address
5 Middlesex Ave, Cambridge Health Alliance, Somerville, MA 02145
Phone Number
617-591-4660
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Other Names
Meredith R Harclerode, PT, DPT, SCS (Former Name)
Provider Enumeration Date
September 12, 2013
Last Update Date
February 27, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Middlesex Ave
Cambridge Health Alliance
Somerville, MA 02145
Zip
02145
Phone Number
617-591-4660
Somerville, MA 02145Get directions →

Provider Business Mailing Address Details

Address
1293 River St
Haverhill, MA 01832-3542
City
Haverhill
State
MA
Zip
01832-3542
Phone Number
201-317-9683

License Information

License Number
20685
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 Meredith R Izzicupo, PT, DPT, SCS?

The NPI number of Meredith R Izzicupo, PT, DPT, SCS is 1457786204. It was assigned on September 12, 2013 and is currently active in the NPPES registry.

What is the specialty of Meredith R Izzicupo, PT, DPT, SCS?

Meredith R Izzicupo, PT, DPT, SCS is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 20685.

Where does Meredith R Izzicupo, PT, DPT, SCS practice?

The practice location is 5 Middlesex Ave, Cambridge Health Alliance, Somerville, MA 02145. The office can be reached at 617-591-4660 (phone).

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 1457786204 directly on the NPPES registry website.

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