Active NPIIndividual provider

Mr. Michael W Nideur, PTA

Physical Therapy Assistant in Mashpee, Massachusetts

NPI Number1962546317
Practice location
800 Falmouth RD, Suite 103C Summerfield Park, Mashpee, MA 02649-3303
Fax
508-477-5377
Last updated
July 8, 2007

Michael W. Nideur is a Physical Therapy Assistant based in Mashpee, MA. Michael W. Nideur practices in Mashpee, MA and has the professional credentials of PTA. The NPI Number for Michael W. Nideur is 1962546317 and holds a License No. 2406 (MA). The current practice location address for Michael W. Nideur is 800 Falmouth RD, Suite 103C Summerfield Park, Mashpee, MA 02649-3303 and can be reached out via phone at 508-477-4800 and via fax at 508-477-5377.

Provider Profile Details

NPI Number
1962546317
Provider Name
Michael W. Nideur
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
800 Falmouth RD, Suite 103C Summerfield Park, Mashpee, MA 02649-3303
Phone Number
508-477-4800
Fax Number
508-477-5377
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
February 19, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
800 Falmouth RD
Suite 103C Summerfield Park
Mashpee, MA 02649-3303
Zip
02649-3303
Phone Number
508-477-4800
Fax Number
508-477-5377
Mashpee, MA 02649Get directions →

Provider Business Mailing Address Details

Address
180 Castlewood Cir
Hyannis, MA 02601-2134
City
Hyannis
State
MA
Zip
02601-2134
Phone Number
508-778-1754

License Information

License Number
2406
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 Mr. Michael W Nideur, PTA?

The NPI number of Mr. Michael W Nideur, PTA is 1962546317. It was assigned on February 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Michael W Nideur, PTA?

Mr. Michael W Nideur, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 2406.

Where does Mr. Michael W Nideur, PTA practice?

The practice location is 800 Falmouth RD, Suite 103C Summerfield Park, Mashpee, MA 02649-3303. The office can be reached at 508-477-4800 (phone) or 508-477-5377 (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 1962546317 directly on the NPPES registry website.

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