Healthcare Provider Details

I. General information

NPI: 1811703440
Provider Name (Legal Business Name): ENCOMPASS PELVIC HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2024
Last Update Date: 07/19/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 MILL ST STE 405
ARLINGTON MA
02476-4744
US

IV. Provider business mailing address

22 MILL ST STE 405
ARLINGTON MA
02476-4744
US

V. Phone/Fax

Practice location:
  • Phone: 207-463-6361
  • Fax:
Mailing address:
  • Phone: 207-463-6361
  • Fax: 860-337-1388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: SUSAN LYNN YEBRA
Title or Position: OWNER/OT
Credential: OTD
Phone: 207-463-6361