Eliza M Poutenis, PT, DPT, ATC
Physical Therapist in West Boylston, Massachusetts
1679200984- Practice location
- 354 W Boylston St Ste 111, West Boylston, MA 01583-2373
- Phone
- 508-622-3700
- Fax
- —
- Last updated
- August 5, 2022
Eliza Mary Poutenis is a Physical Therapist based in West Boylston, MA. Eliza Mary Poutenis practices in West Boylston, MA and has the professional credentials of PT, DPT, ATC. The NPI Number for Eliza Mary Poutenis is 1679200984 and holds a License No. 3399 (MA). The current practice location address for Eliza Mary Poutenis is 354 W Boylston St Ste 111, West Boylston, MA 01583-2373 and can be reached out via phone at 508-622-3700.
Provider Profile Details
- NPI Number
- 1679200984
- Provider Name
- Eliza Mary Poutenis
- Credential
- PT, DPT, ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 354 W Boylston St Ste 111, West Boylston, MA 01583-2373
- Phone Number
- 508-622-3700
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 5, 2022
- Last Update Date
- August 5, 2022
- Certification Date
- August 4, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 354 W Boylston St Ste 111
West Boylston, MA 01583-2373 - City
- West Boylston
- State
- Massachusetts
- Zip
- 01583-2373
- Phone Number
- 508-622-3700
Provider Business Mailing Address Details
- Address
- 354 W Boylston St Ste 111
West Boylston, MA 01583-2373 - City
- West Boylston
- State
- MA
- Zip
- 01583-2373
- Phone Number
- 508-622-3700
License Information
- License Number (1)
- 3399
- License State (1)
- MA
- Taxonomy (1)
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- License State (2)
- MA
- Taxonomy (2)
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Eliza M Poutenis, PT, DPT, ATC?
The NPI number of Eliza M Poutenis, PT, DPT, ATC is 1679200984. It was assigned on August 5, 2022 and is currently active in the NPPES registry.
What is the specialty of Eliza M Poutenis, PT, DPT, ATC?
Eliza M Poutenis, PT, DPT, ATC is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 3399.
Where does Eliza M Poutenis, PT, DPT, ATC practice?
The practice location is 354 W Boylston St Ste 111, West Boylston, MA 01583-2373. The office can be reached at 508-622-3700 (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 1679200984 directly on the NPPES registry website.