Maryellen Ernst is a Sports in Swampscott, Massachusetts. Maryellen Ernst practices all healthcare services and medical treatments related to Sports. The NPI Number for Maryellen Ernst is 1720202088. The last update date is 2007-07-08.
Maryellen Ernst's current location address is 28 Norfolk Ave, Swampscott, Massachusetts. You can contact this provider via phone number 7815986511. The mailing address for Maryellen Ernst is 28 Norfolk Ave, Swampscott, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maryellen Ernst |
|---|---|
| Address | 28 Norfolk Ave, Swampscott, Massachusetts |
| Phone Number | 7815986511 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PT, CP |
NPI Number Detail
| NPI Number | 1720202088 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 28 Norfolk Ave |
|---|---|
| City | Swampscott |
| State | Massachusetts (MA) |
| Post Code | 19071805 |
| Phone Number | 7815986511 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | 8216 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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What is the Maryellen Ernst's 1720202088?
The Maryellen Ernst's NPI (National Provider Identifier) Number is 1720202088. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Maryellen Ernst's physical address?
The Maryellen Ernst is physically located at 28 Norfolk Ave, in the city of Swampscott, MA, with the postal code 19071805.
What is the Maryellen Ernst's area of specialization and corresponding taxonomy classification?
The Maryellen Ernst's specialty field is Sports, and it falls under the taxonomy code 2251S0007X, which categorizes healthcare providers based on their specialties.
On what date did the Maryellen Ernst receive the assignment of its 1720202088 from the Centers for Medicare & Medicaid Services?
The Maryellen Ernst was issued its 1720202088 by the Centers for Medicare & Medicaid Services on 2007-04-11.
When was the information related to Maryellen Ernst most recently updated or refreshed?
The details pertaining to the Maryellen Ernst, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.