Active NPIIndividual provider

Mr. Keith P Kourafas, PTA

Physical Therapy Assistant in New Bedford, Massachusetts

NPI Number1760067037
Practice location
4525 Acushnet Ave, New Bedford, MA 02745-4727
Fax
—
Last updated
December 14, 2023

Keith Peter Kourafas is a Physical Therapy Assistant based in New Bedford, MA. Keith Peter Kourafas practices in New Bedford, MA and has the professional credentials of PTA. The NPI Number for Keith Peter Kourafas is 1760067037 and holds a License No. 3674 (MA). The current practice location address for Keith Peter Kourafas is 4525 Acushnet Ave, New Bedford, MA 02745-4727 and can be reached out via phone at 508-009-7807.

Provider Profile Details

NPI Number
1760067037
Provider Name
Keith Peter Kourafas
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
4525 Acushnet Ave, New Bedford, MA 02745-4727
Phone Number
508-009-7807
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
March 17, 2021
Last Update Date
December 14, 2023
Certification Date
December 14, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
4525 Acushnet Ave
New Bedford, MA 02745-4727
Zip
02745-4727
Phone Number
508-009-7807
New Bedford, MA 02745Get directions →

Provider Business Mailing Address Details

Address
4525 Acushnet Ave
New Bedford, MA 02745-4727
City
New Bedford
State
MA
Zip
02745-4727
Phone Number
508-998-7807

License Information

License Number (1)
3674
License State (1)
MA
Taxonomy (1)
Physical Therapy Assistant · 225200000X
License Number (2)
A8243
License State (2)
NC
Taxonomy (2)
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 Mr. Keith P Kourafas, PTA?

The NPI number of Mr. Keith P Kourafas, PTA is 1760067037. It was assigned on March 17, 2021 and is currently active in the NPPES registry.

What is the specialty of Mr. Keith P Kourafas, PTA?

Mr. Keith P Kourafas, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 3674.

Where does Mr. Keith P Kourafas, PTA practice?

The practice location is 4525 Acushnet Ave, New Bedford, MA 02745-4727. The office can be reached at 508-009-7807 (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 1760067037 directly on the NPPES registry website.

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