Active NPIIndividual providerSole proprietor

Dana Booth, PT

Physical Therapist in Leicester, Massachusetts

NPI Number1588734578
Practice location
1037 Main St, Leicester, MA 01524-1313
Fax
508-892-1782
Last updated
July 29, 2020

Dana Booth is a Physical Therapist based in Leicester, MA. Dana Booth practices in Leicester, MA and has the professional credentials of PT. The NPI Number for Dana Booth is 1588734578 and holds a License No. PT000003524 (TN). The current practice location address for Dana Booth is 1037 Main St, Leicester, MA 01524-1313 and can be reached out via phone at 508-892-1335 and via fax at 508-892-1782.

Provider Profile Details

NPI Number
1588734578
Provider Name
Dana Booth
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
1037 Main St, Leicester, MA 01524-1313
Phone Number
508-892-1335
Fax Number
508-892-1782
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
November 8, 2006
Last Update Date
July 29, 2020
Certification Date
July 29, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1037 Main St
Leicester, MA 01524-1313
Zip
01524-1313
Phone Number
508-892-1335
Fax Number
508-892-1782
Leicester, MA 01524Get 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 (1)
PT000003524
License State (1)
TN
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
22139
License State (2)
MA
Taxonomy (2)
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 Dana Booth, PT?

The NPI number of Dana Booth, PT is 1588734578. It was assigned on November 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Dana Booth, PT?

Dana Booth, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in TN under license number PT000003524.

Where does Dana Booth, PT practice?

The practice location is 1037 Main St, Leicester, MA 01524-1313. The office can be reached at 508-892-1335 (phone) or 508-892-1782 (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 1588734578 directly on the NPPES registry website.

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