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PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC NPI 1083949861


NPI Information

NPI: 1083949861
Provider Name: PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC

Doing Business As: ATI PHYSICAL THERAPY OF WESTERN MASSACHUSETTS

Classification: Occupational Therapist - 225XH1200X
Entity Type: Organization

Specialization: Hand

Address:
70 POST OFFICE PARK
SUITE 7007
WILBRAHAM, MA
ZIP 01095
Phone: (413) 279-1435
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PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC is a hand occupational therapist in Wilbraham, MA. PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC NPI is 1083949861. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ati Physical Therapy Of Western Massachusetts.

The provider's business location address is:

70 POST OFFICE PARK
SUITE 7007
WILBRAHAM, MA
ZIP 01095-287
Phone: (413) 279-1435
Fax: (413) 279-1438

The provider's authorized official is Lynn Mcgivern .
The authorized official title is Chief Compliance Officer and has the following contact phone number (630) 296-2223.

The enumeration date for this NPI number is 10/12/2009 and was last updated on 6/8/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical TherapistNo
22251H1200XPhysical TherapistHandNo
3225X00000XOccupational TherapistNo
4225XH1200XOccupational TherapistHandYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OG0011OTHERMASSACHUSETTSOT----BLUE CROSS BLUE SHIELD
2AA49027OTHERMASSACHUSETTSHARVARD PILGRIM
3972730OTHERMASSACHUSETTSNETWORK HEALTH
4=========OTHERMASSACHUSETTSGIC
528117OTHERMASSACHUSETTSHEALTH NEW ENGLAND
64510980004MEDICARE NSCMASSACHUSETTS
7Y61264OTHERMASSACHUSETTSPT---BLUE CROSS BLUE SHIELD
8=========OTHERMASSACHUSETTSCIGNA
9=========OTHERMASSACHUSETTSCT CARE
109715568MEDICAIDMASSACHUSETTS
1164-04290OTHERMASSACHUSETTSUNITED HEALTHCARE
129715568OTHERMASSACHUSETTSTUFTS
134510980001MEDICARE NSCMASSACHUSETTS
14103355100OTHERMASSACHUSETTSDEPT OF LABOR
15PT0191MEDICARE PINMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.