Active NPIIndividual provider

Maureen M Fisher, PTA, LMT

Physical Therapy Assistant in Medford, Massachusetts

NPI Number1912363128
Practice location
200 Governors Ave, Medford, MA 02155-1644
Fax
—
Last updated
January 5, 2016

Maureen Minahan Fisher is a Physical Therapy Assistant based in Medford, MA. Maureen Minahan Fisher practices in Medford, MA and has the professional credentials of PTA, LMT. The NPI Number for Maureen Minahan Fisher is 1912363128 and holds a License No. 9063 (MA). The current practice location address for Maureen Minahan Fisher is 200 Governors Ave, Medford, MA 02155-1644 and can be reached out via phone at 781-391-5400.

Provider Profile Details

NPI Number
1912363128
Provider Name
Maureen Minahan Fisher
Credential
PTA, LMT
Provider Entity Type
Individual
Gender
Female
Address
200 Governors Ave, Medford, MA 02155-1644
Phone Number
781-391-5400
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
January 5, 2016
Last Update Date
January 5, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Governors Ave
Medford, MA 02155-1644
Zip
02155-1644
Phone Number
781-391-5400
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
165 Lowell St
#1
Somerville, MA 02143-1414
City
Somerville
State
MA
Zip
02143-1414
Phone Number
508-615-5252

License Information

License Number (1)
9063
License State (1)
MA
Taxonomy (1)
Physical Therapy Assistant · 225200000X · Primary
License Number (2)
7178
License State (2)
MA
Taxonomy (2)
Massage Therapist · 225700000X

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 Maureen M Fisher, PTA, LMT?

The NPI number of Maureen M Fisher, PTA, LMT is 1912363128. It was assigned on January 5, 2016 and is currently active in the NPPES registry.

What is the specialty of Maureen M Fisher, PTA, LMT?

Maureen M Fisher, PTA, LMT is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 9063.

Where does Maureen M Fisher, PTA, LMT practice?

The practice location is 200 Governors Ave, Medford, MA 02155-1644. The office can be reached at 781-391-5400 (phone).

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 1912363128 directly on the NPPES registry website.

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