Mrs. Stacey A Mantenuto, PT, MSPT
Physical Therapist in Medford, Massachusetts
1750592200- Practice location
- 170 Governors Ave, Medford, MA 02155-1643
- Phone
- 781-306-6950
- Fax
- —
- Last updated
- July 8, 2007
Stacey Anne Mantenuto is a Physical Therapist based in Medford, MA. Stacey Anne Mantenuto practices in Medford, MA and has the professional credentials of PT, MSPT. The NPI Number for Stacey Anne Mantenuto is 1750592200 and holds a License No. 10268 (MA). The current practice location address for Stacey Anne Mantenuto is 170 Governors Ave, Medford, MA 02155-1643 and can be reached out via phone at 781-306-6950.
Provider Profile Details
- NPI Number
- 1750592200
- Provider Name
- Stacey Anne Mantenuto
- Credential
- PT, MSPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 170 Governors Ave, Medford, MA 02155-1643
- Phone Number
- 781-306-6950
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 25, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 170 Governors Ave
Medford, MA 02155-1643 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-1643
- Phone Number
- 781-306-6950
Provider Business Mailing Address Details
- Address
- 4 Carolina Ln
Westford, MA 01886-1446 - City
- Westford
- State
- MA
- Zip
- 01886-1446
- Phone Number
- 978-692-2871
License Information
- License Number
- 10268
- License State
- MA
- Taxonomy
- 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 Mrs. Stacey A Mantenuto, PT, MSPT?
The NPI number of Mrs. Stacey A Mantenuto, PT, MSPT is 1750592200. It was assigned on May 25, 2007 and is currently active in the NPPES registry.
What is the specialty of Mrs. Stacey A Mantenuto, PT, MSPT?
Mrs. Stacey A Mantenuto, PT, MSPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 10268.
Where does Mrs. Stacey A Mantenuto, PT, MSPT practice?
The practice location is 170 Governors Ave, Medford, MA 02155-1643. The office can be reached at 781-306-6950 (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 1750592200 directly on the NPPES registry website.