Healthcare Provider Details

I. General information

NPI: 1598280505
Provider Name (Legal Business Name): NICHOLAS J NAPOLI DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2017
Last Update Date: 10/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 MILL ST STE 406
ARLINGTON MA
02476-4744
US

IV. Provider business mailing address

21 COTTAGE ST
MEDFORD MA
02155
US

V. Phone/Fax

Practice location:
  • Phone: 781-646-8440
  • Fax: 781-643-7542
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number23122
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: