MEDICARE: REBEKAH GOODFELLOW DPT

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	6194	NH

General Provider Information

NPI Number	:	1851242887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBEKAH GOODFELLOW DPT

Provider Business Mailing Address
First Line	:	703 GRANITE ST STE 3
Second Line	:
City	:	BRAINTREE
State	:	MA
Zip	:	02184-5350
Country	:	US
Telephone Number	:	781-961-3370
Fax Number	:

Provider Business Practice Location Address
First Line	:	835 HANOVER ST STE 102
Second Line	:
City	:	MANCHESTER
State	:	NH
Zip	:	03104-5401
Country	:	US
Telephone Number	:	603-625-1864
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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Directions to “ REBEKAH GOODFELLOW DPT” Practice Location

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