Active NPIIndividual provider

Erin B Donnelly, PT, DPT, ATC

Physical Therapist in Medford, Massachusetts

NPI Number1962058289
Practice location
161 College Ave, Medford, MA 02155-5593
Fax
617-627-2185
Last updated
October 22, 2019

Erin Brooke Donnelly is a Physical Therapist based in Medford, MA. Erin Brooke Donnelly practices in Medford, MA and has the professional credentials of PT, DPT, ATC. The NPI Number for Erin Brooke Donnelly is 1962058289 and holds a License No. 24520 (MA). The current practice location address for Erin Brooke Donnelly is 161 College Ave, Medford, MA 02155-5593 and can be reached out via phone at 781-874-9748 and via fax at 617-627-2185.

Provider Profile Details

NPI Number
1962058289
Provider Name
Erin Brooke Donnelly
Credential
PT, DPT, ATC
Provider Entity Type
Individual
Gender
Female
Address
161 College Ave, Medford, MA 02155-5593
Phone Number
781-874-9748
Fax Number
617-627-2185
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 13, 2019
Last Update Date
October 22, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
161 College Ave
Medford, MA 02155-5593
Zip
02155-5593
Phone Number
781-874-9748
Fax Number
617-627-2185
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
161 College Ave
Medford, MA 02155-5593
City
Medford
State
MA
Zip
02155-5593
Phone Number
781-874-9748
Fax Number
617-627-2185

License Information

License Number
24520
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 Erin B Donnelly, PT, DPT, ATC?

The NPI number of Erin B Donnelly, PT, DPT, ATC is 1962058289. It was assigned on August 13, 2019 and is currently active in the NPPES registry.

What is the specialty of Erin B Donnelly, PT, DPT, ATC?

Erin B Donnelly, PT, DPT, ATC is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 24520.

Where does Erin B Donnelly, PT, DPT, ATC practice?

The practice location is 161 College Ave, Medford, MA 02155-5593. The office can be reached at 781-874-9748 (phone) or 617-627-2185 (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 1962058289 directly on the NPPES registry website.

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