Active NPIIndividual provider

Agnes Formejster, PTA

Physical Therapy Assistant in Springfield, Massachusetts

NPI Number1760560627
Practice location
300 Stafford St, Suite 360, Springfield, MA 01104-3581
Fax
413-731-6703
Last updated
July 16, 2007

Agnes Formejster is a Physical Therapy Assistant based in Springfield, MA. Agnes Formejster practices in Springfield, MA and has the professional credentials of PTA. The NPI Number for Agnes Formejster is 1760560627 and holds a License No. 3436 (MA). The current practice location address for Agnes Formejster is 300 Stafford St, Suite 360, Springfield, MA 01104-3581 and can be reached out via phone at 413-734-8440 and via fax at 413-731-6703.

Provider Profile Details

NPI Number
1760560627
Provider Name
Agnes Formejster
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
300 Stafford St, Suite 360, Springfield, MA 01104-3581
Phone Number
413-734-8440
Fax Number
413-731-6703
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Other Names
-- Agnieszka Slowik (Other Name)
Provider Enumeration Date
November 1, 2006
Last Update Date
July 16, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Stafford St
Suite 360
Springfield, MA 01104-3581
Zip
01104-3581
Phone Number
413-734-8440
Fax Number
413-731-6703
Springfield, MA 01104Get directions →

Provider Business Mailing Address Details

Address
300 Stafford St
360
Springfield, MA 01104-3581
City
Springfield
State
MA
Zip
01104-3581
Phone Number
413-734-8440
Fax Number
413-731-6703

License Information

License Number
3436
License State
MA
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physical Therapy Assistants near Springfield, MA

View all Physical Therapy Assistants in Springfield →

Frequently Asked Questions

What is the NPI number of Agnes Formejster, PTA?

The NPI number of Agnes Formejster, PTA is 1760560627. It was assigned on November 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Agnes Formejster, PTA?

Agnes Formejster, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 3436.

Where does Agnes Formejster, PTA practice?

The practice location is 300 Stafford St, Suite 360, Springfield, MA 01104-3581. The office can be reached at 413-734-8440 (phone) or 413-731-6703 (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 1760560627 directly on the NPPES registry website.

Browse related providers