Active NPIIndividual providerSole proprietor

Matthew J Penque

Physical Therapist in Belmont, Massachusetts

NPI Number1770133381
Practice location
413 Trapelo RD # 2, Belmont, MA 02478-1417
Fax
617-932-1476
Last updated
September 20, 2019

Matthew J Penque is a Physical Therapist based in Belmont, MA. Matthew J Penque practices in Belmont, MA. The NPI Number for Matthew J Penque is 1770133381 and holds a License No. 24298 (MA). The current practice location address for Matthew J Penque is 413 Trapelo RD # 2, Belmont, MA 02478-1417 and can be reached out via phone at 617-932-1027 and via fax at 617-932-1476.

Provider Profile Details

NPI Number
1770133381
Provider Name
Matthew J Penque
Provider Entity Type
Individual
Gender
Male
Address
413 Trapelo RD # 2, Belmont, MA 02478-1417
Phone Number
617-932-1027
Fax Number
617-932-1476
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
September 16, 2019
Last Update Date
September 20, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
413 Trapelo RD # 2
Belmont, MA 02478-1417
Zip
02478-1417
Phone Number
617-932-1027
Fax Number
617-932-1476
Belmont, MA 02478Get directions →

Provider Business Mailing Address Details

Address
107 College RD
Concord, MA 01742-1526
City
Concord
State
MA
Zip
01742-1526
Phone Number
617-932-1027
Fax Number
617-932-1476

License Information

License Number
24298
License State
MA
Taxonomy
Physical Therapist · 225100000X · 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 Matthew J Penque?

The NPI number of Matthew J Penque is 1770133381. It was assigned on September 16, 2019 and is currently active in the NPPES registry.

What is the specialty of Matthew J Penque?

Matthew J Penque is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 24298.

Where does Matthew J Penque practice?

The practice location is 413 Trapelo RD # 2, Belmont, MA 02478-1417. The office can be reached at 617-932-1027 (phone) or 617-932-1476 (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 1770133381 directly on the NPPES registry website.

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