Clifford A Gaviola, PT
Physical Therapist in Revere, Massachusetts
1902880883- Practice location
- 372 Broadway, Revere, MA 02151-5016
- Phone
- 781-485-1001
- Fax
- 781-289-6820
- Last updated
- September 2, 2020
Clifford Angco Gaviola is a Physical Therapist based in Revere, MA. Clifford Angco Gaviola practices in Revere, MA and has the professional credentials of PT. The NPI Number for Clifford Angco Gaviola is 1902880883 and holds a License No. 16695 (MA). The current practice location address for Clifford Angco Gaviola is 372 Broadway, Revere, MA 02151-5016 and can be reached out via phone at 781-485-1001 and via fax at 781-289-6820.
Provider Profile Details
- NPI Number
- 1902880883
- Provider Name
- Clifford Angco Gaviola
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 372 Broadway, Revere, MA 02151-5016
- Phone Number
- 781-485-1001
- Fax Number
- 781-289-6820
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Other Names
- -- Boeing Angco Gaviola, PT (Other Name)
- Provider Enumeration Date
- December 3, 2005
- Last Update Date
- September 2, 2020
- Certification Date
- September 2, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 372 Broadway
Revere, MA 02151-5016 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-5016
- Phone Number
- 781-485-1001
- Fax Number
- 781-289-6820
Provider Business Mailing Address Details
- Address
- 5730 Corporate Way Ste 214
West Palm Beach, FL 33407-2032 - City
- West Palm Beach
- State
- FL
- Zip
- 33407-2032
- Phone Number
- 774-218-5585
- Fax Number
- 561-603-6450
License Information
- License Number
- 16695
- License State
- MA
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Clifford A Gaviola, PT?
The NPI number of Clifford A Gaviola, PT is 1902880883. It was assigned on December 3, 2005 and is currently active in the NPPES registry.
What is the specialty of Clifford A Gaviola, PT?
Clifford A Gaviola, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 16695.
Where does Clifford A Gaviola, PT practice?
The practice location is 372 Broadway, Revere, MA 02151-5016. The office can be reached at 781-485-1001 (phone) or 781-289-6820 (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 1902880883 directly on the NPPES registry website.