Active NPIIndividual provider

Mrs. Jacquelyn T Reddick, PTA

Physical Therapy Assistant in Everett, Massachusetts

NPI Number1518163732
Practice location
103 Garland St, Everett, MA 02149-5066
Fax
617-381-7214
Last updated
July 8, 2007

Jacquelyn Teresa Reddick is a Physical Therapy Assistant based in Everett, MA. Jacquelyn Teresa Reddick practices in Everett, MA and has the professional credentials of PTA. The NPI Number for Jacquelyn Teresa Reddick is 1518163732 and holds a License No. 217 (MA). The current practice location address for Jacquelyn Teresa Reddick is 103 Garland St, Everett, MA 02149-5066 and can be reached out via phone at 617-381-7175 and via fax at 617-381-7214.

Provider Profile Details

NPI Number
1518163732
Provider Name
Jacquelyn Teresa Reddick
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
103 Garland St, Everett, MA 02149-5066
Phone Number
617-381-7175
Fax Number
617-381-7214
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
June 25, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
103 Garland St
Everett, MA 02149-5066
Zip
02149-5066
Phone Number
617-381-7175
Fax Number
617-381-7214
Everett, MA 02149Get directions →

Provider Business Mailing Address Details

Address
22 Murray St
Peabody, MA 01960-1112
City
Peabody
State
MA
Zip
01960-1112
Phone Number
978-535-0558

License Information

License Number
217
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.

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Frequently Asked Questions

What is the NPI number of Mrs. Jacquelyn T Reddick, PTA?

The NPI number of Mrs. Jacquelyn T Reddick, PTA is 1518163732. It was assigned on June 25, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jacquelyn T Reddick, PTA?

Mrs. Jacquelyn T Reddick, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 217.

Where does Mrs. Jacquelyn T Reddick, PTA practice?

The practice location is 103 Garland St, Everett, MA 02149-5066. The office can be reached at 617-381-7175 (phone) or 617-381-7214 (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 1518163732 directly on the NPPES registry website.

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