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Contact Information

PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC
70 POST OFFICE PARK
SUITE 7007
WILBRAHAM, MA01095-1287
 Phone: 413-279-1435
 Fax: 413-279-1438
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

225XH1200X 67 Occupational Therapist in Private Practice
 

Hand

2251H1200X 65 Physical Therapist in Private Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC

NPI Number 1083949861
LBN Legal business name PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC
Authorized official LYNN MCGIVERN - (CHIEF COMPLIANCE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2009
Last updated 06/08/2017 - About 9 years ago
Identifiers
MA Medicaid 9715568
MA Other 103355100 DEPT OF LABOR
MA Other AA49027 HARVARD PILGRIM
MA Other 28117 HEALTH NEW ENGLAND
MA Other 972730 NETWORK HEALTH
MA Other OG0011 OT----BLUE CROSS BLUE SHIELD
MA Other Y61264 PT---BLUE CROSS BLUE SHIELD
MA Other 9715568 TUFTS
MA Other 64-04290 UNITED HEALTHCARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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