Active NPIOrganization

Criterion

Clinic/Center, Physical Therapy in Jefferson, Massachusetts

NPI Number1669898714
Practice location
15 Manning St, Jefferson, MA 01522-1570
Fax
—
Last updated
March 13, 2014

Criterion is a healthcare organization based in Jefferson, MA. Criterion practices in Jefferson, MA. The NPI Number for Criterion is 1669898714 and holds a License No. 5211 (MA). The current practice location address for Criterion is 15 Manning St, Jefferson, MA 01522-1570 and can be reached out via phone at 508-825-0621.

Provider Profile Details

NPI Number
1669898714
Provider Name
Criterion
Provider Entity Type
Organization
Address
15 Manning St, Jefferson, MA 01522-1570
Phone Number
508-825-0621
Primary Taxonomy
Clinic/Center, Physical Therapy · 261QP2000X
Organization Subpart
No
Authorized Official
Ms. Sally Goodhile · Physical Therapist · 978-632-4423
Other Names
Wachusett (Doing Business As)
Provider Enumeration Date
March 13, 2014
Last Update Date
March 13, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Manning St
Jefferson, MA 01522-1570
Zip
01522-1570
Phone Number
508-825-0621
Jefferson, MA 01522Get directions →

Provider Business Mailing Address Details

Address
31 Lake St
180
Gardner, MA 01440-3879
City
Gardner
State
MA
Zip
01440-3879
Phone Number
978-632-4432
Fax Number
978-632-6022

License Information

Taxonomy (1)
Community Health Worker · 172V00000X
License Number (2)
5211
License State (2)
MA
Taxonomy (2)
In Home Supportive Care · 253Z00000X
License Number (3)
5211
License State (3)
MA
Taxonomy (3)
Exclusive Provider Organization · 302F00000X
License Number (4)
5211
License State (4)
MA
Taxonomy (4)
Clinic/Center, Physical Therapy · 261QP2000X · 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 Criterion?

The NPI number of Criterion is 1669898714. It was assigned on March 13, 2014 and is currently active in the NPPES registry.

What is the specialty of Criterion?

Criterion is registered under the primary taxonomy Clinic/Center, Physical Therapy (code 261QP2000X), licensed in MA under license number 5211.

Where does Criterion practice?

The practice location is 15 Manning St, Jefferson, MA 01522-1570. The office can be reached at 508-825-0621 (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 1669898714 directly on the NPPES registry website.

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