Healthcare Provider Details

I. General information

NPI: 1386556579
Provider Name (Legal Business Name): OTHMAN BELHSEINE DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 TOZER RD STE 201
BEVERLY MA
01915-5514
US

IV. Provider business mailing address

1 STONE LN APT 2120
MALDEN MA
02148-1559
US

V. Phone/Fax

Practice location:
  • Phone: 978-818-6350
  • Fax:
Mailing address:
  • Phone: 585-309-3489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPTL90080
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: