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Contact Information

BAY STATE PHYSICAL THERAPY OF RANDOLPH INC
703 GRANITE ST STE 300
BRAINTREE, MA02184-5350
 Phone: 781-961-3370
 Fax: 781-961-1291
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BAY STATE PHYSICAL THERAPY OF RANDOLPH INC · (Female)

NPI # 1164474334
Status Active
Credentials
Entity Individual
Enumeration date 05/16/2006
Last updated 03/05/2026 - About 3 months ago
Sole proprietor 1 Not specified
Identifiers
  • MA Medicaid 9705601
  • MA Other 0009411 ALLWAYS HEALTHCARE (FORMERLY NHP)
  • MA Other Y61008 BLUE CROSS BLUE SHIELD (MA)
  • MA Other 626127 HARVARD PILGRIM
  • MA Other PT0101 MEDICARE PIN
  • MA Other 684486 OPTUM/UHC
  • MA Other 689511 TUFTS HEALTH PLAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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