Active NPIIndividual provider

Dr. Micayla B Pedrick, PT, DPT

Physical Therapist in Waltham, Massachusetts

NPI Number1811415086
Practice location
220 Bear Hill RD Ste 102, Waltham, MA 02451-1004
Fax
781-281-9181
Last updated
August 10, 2023

Micayla Brianne Pedrick is a Physical Therapist based in Waltham, MA. Micayla Brianne Pedrick practices in Waltham, MA and has the professional credentials of PT, DPT. The NPI Number for Micayla Brianne Pedrick is 1811415086 and holds a License No. 23038 (MA). The current practice location address for Micayla Brianne Pedrick is 220 Bear Hill RD Ste 102, Waltham, MA 02451-1004 and can be reached out via phone at 781-790-8479 and via fax at 781-281-9181.

Provider Profile Details

NPI Number
1811415086
Provider Name
Micayla Brianne Pedrick
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Female
Address
220 Bear Hill RD Ste 102, Waltham, MA 02451-1004
Phone Number
781-790-8479
Fax Number
781-281-9181
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
September 7, 2017
Last Update Date
August 10, 2023
Certification Date
August 10, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
220 Bear Hill RD Ste 102
Waltham, MA 02451-1004
Zip
02451-1004
Phone Number
781-790-8479
Fax Number
781-281-9181
Waltham, MA 02451Get directions →

Provider Business Mailing Address Details

Address
154 Hartford St
Natick, MA 01760-3127
City
Natick
State
MA
Zip
01760-3127
Phone Number
862-432-5937

License Information

License Number (1)
23038
License State (1)
MA
Taxonomy (1)
Physical Therapist, Pediatrics · 2251P0200X
License Number (2)
23038
License State (2)
MA
Taxonomy (2)
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 Dr. Micayla B Pedrick, PT, DPT?

The NPI number of Dr. Micayla B Pedrick, PT, DPT is 1811415086. It was assigned on September 7, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Micayla B Pedrick, PT, DPT?

Dr. Micayla B Pedrick, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 23038.

Where does Dr. Micayla B Pedrick, PT, DPT practice?

The practice location is 220 Bear Hill RD Ste 102, Waltham, MA 02451-1004. The office can be reached at 781-790-8479 (phone) or 781-281-9181 (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 1811415086 directly on the NPPES registry website.

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