MEDICARE: SOUTH SHORE ORTHOPEDICS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist
2	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1255514824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH SHORE ORTHOPEDICS, LLC

Provider Business Mailing Address
First Line	:	2 POND PARK RD STE 102
Second Line	:
City	:	HINGHAM
State	:	MA
Zip	:	02043-4354
Country	:	US
Telephone Number	:	781-337-5555
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 POND PARK RD STE 102
Second Line	:
City	:	HINGHAM
State	:	MA
Zip	:	02043-4354
Country	:	US
Telephone Number	:	781-337-5555
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR/PRINCIPLE
Name	:	DR. MICHAEL E. AYERS
Credential	:	MD
Telephone Number	:	781-337-5555

Provider Enumeration Date	:	12/06/2007
Last Update Date	:	03/17/2018

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