| NPI | 1104035302 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-05-22 |
| Last Updated | 2020-03-13 |
| Authorized Official | R Scott Oliver OWNER Phone: 7819347292 |
| Mailing Address | 95 Tremont St, Suite 1 Duxbury, MA 02332-4738 United States Phone: (781) 934-7292 | Fax: (781) 934-8112 📍 View Map |
| Primary Practice Address | 41 Resnik Rd Plymouth, MA 02360-4842 United States Phone: (781) 934-7292 | Fax: (508) 746-3930 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MA | 9764984 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 225X00000X – Occupational Therapist | MA | 259 |
| Yes | 2251X0800X – Physical Therapist, Orthopedic | MA | 259 |
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About NPI 1104035302
Plymouth Bay Orthopedic Associates, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1104035302. The primary specialty listed is Physical Therapist, Orthopedic. The organization is located in Plymouth, MA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-05-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104035302?
NPI 1104035302 belongs to Plymouth Bay Orthopedic Associates, Inc., a Physical Therapist, Orthopedic in Plymouth, MA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104035302 active?
The current status of NPI 1104035302 in the NPPES registry is Active. The record was last updated on 2020-03-13.
What specialty is NPI 1104035302?
NPI 1104035302 is classified under the taxonomy Physical Therapist, Orthopedic. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104035302?
You can verify NPI 1104035302 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104035302?
The primary practice address on file for NPI 1104035302 is 41 Resnik Rd, Plymouth, MA 02360-4842. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104035302 issued?
NPI 1104035302 was first issued (enumerated) on 2007-05-22. The NPPES record was last updated on 2020-03-13.
Practice Location Map
Plymouth Bay Orthopedic Associates, Inc. is located at 41 Resnik Rd, Plymouth, MA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Plymouth Bay Orthopedic Associates, Inc.. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104035302. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Occupational Therapist | 259 | MA |
| Physical Therapist, Orthopedic | 259 | MA |