Healthcare Provider Details

I. General information

NPI: 1740103860
Provider Name (Legal Business Name): MICHELLE FRAGER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE COHEN

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 WASHINGTON ST STE 200
DORCHESTER MA
02124-5538
US

IV. Provider business mailing address

73 NEWTON RD UNIT 101
PLAISTOW NH
03865-2440
US

V. Phone/Fax

Practice location:
  • Phone: 857-267-4696
  • Fax: 857-267-4695
Mailing address:
  • Phone: 978-388-7272
  • Fax: 978-388-7373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL22335
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: