Active NPIIndividual provider

Mrs. Kellie B Bedoni, MS PT

Physical Therapist in Everett, Massachusetts

NPI Number1891806501
Practice location
602 Broadway, Everett, MA 02149
Fax
617-389-7225
Last updated
April 5, 2016

Kellie Bonner Bedoni is a Physical Therapist based in Everett, MA. Kellie Bonner Bedoni practices in Everett, MA and has the professional credentials of MS PT. The NPI Number for Kellie Bonner Bedoni is 1891806501 and holds a License No. 13001 (MA). The current practice location address for Kellie Bonner Bedoni is 602 Broadway, Everett, MA 02149 and can be reached out via phone at 671-389-7211 and via fax at 617-389-7225.

Provider Profile Details

NPI Number
1891806501
Provider Name
Kellie Bonner Bedoni
Credential
MS PT
Provider Entity Type
Individual
Gender
Female
Address
602 Broadway, Everett, MA 02149
Phone Number
671-389-7211
Fax Number
617-389-7225
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Other Names
Miss Kellie Marie Bonner, PT (Former Name)
Provider Enumeration Date
August 31, 2006
Last Update Date
April 5, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
602 Broadway
Everett, MA 02149
Zip
02149
Phone Number
671-389-7211
Fax Number
617-389-7225
Everett, MA 02149Get directions →

Provider Business Mailing Address Details

Address
405 Pearl Street
North Suburban Orthopedic Associates INC
Malden, MA 02148
City
Malden
State
MA
Zip
02148
Phone Number
781-321-8785
Fax Number
781-321-8063

License Information

License Number
13001
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 Mrs. Kellie B Bedoni, MS PT?

The NPI number of Mrs. Kellie B Bedoni, MS PT is 1891806501. It was assigned on August 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kellie B Bedoni, MS PT?

Mrs. Kellie B Bedoni, MS PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 13001.

Where does Mrs. Kellie B Bedoni, MS PT practice?

The practice location is 602 Broadway, Everett, MA 02149. The office can be reached at 671-389-7211 (phone) or 617-389-7225 (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 1891806501 directly on the NPPES registry website.

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