Active NPIIndividual provider

Debra A Goodreau, PTA

Physical Therapy Assistant in Agawam, Massachusetts

NPI Number1942325659
Practice location
464 Main St, Agawam, MA 01001-1826
Fax
413-821-0733
Last updated
July 8, 2007

Debra Ann Goodreau is a Physical Therapy Assistant based in Agawam, MA. Debra Ann Goodreau practices in Agawam, MA and has the professional credentials of PTA. The NPI Number for Debra Ann Goodreau is 1942325659 and holds a License No. 359 (MA). The current practice location address for Debra Ann Goodreau is 464 Main St, Agawam, MA 01001-1826 and can be reached out via phone at 413-786-8000 and via fax at 413-821-0733.

Provider Profile Details

NPI Number
1942325659
Provider Name
Debra Ann Goodreau
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
464 Main St, Agawam, MA 01001-1826
Phone Number
413-786-8000
Fax Number
413-821-0733
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Other Names
-- Debra Ann Dechellis, PTA (Former Name)
Provider Enumeration Date
March 20, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
464 Main St
Agawam, MA 01001-1826
City
Agawam
Zip
01001-1826
Phone Number
413-786-8000
Fax Number
413-821-0733
Agawam, MA 01001Get directions →

Provider Business Mailing Address Details

Address
599 Center St
Ludlow, MA 01056-1460
City
Ludlow
State
MA
Zip
01056-1460
Phone Number
413-583-6237

License Information

License Number
359
License State
MA
Taxonomy
Physical Therapy Assistant · 225200000X · 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 Debra A Goodreau, PTA?

The NPI number of Debra A Goodreau, PTA is 1942325659. It was assigned on March 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Debra A Goodreau, PTA?

Debra A Goodreau, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 359.

Where does Debra A Goodreau, PTA practice?

The practice location is 464 Main St, Agawam, MA 01001-1826. The office can be reached at 413-786-8000 (phone) or 413-821-0733 (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 1942325659 directly on the NPPES registry website.

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