Healthcare Provider Details

I. General information

NPI: 1447166426
Provider Name (Legal Business Name): ANTHONY VINCENT SULFARO DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 BELMONT STREET
EASTON MA
02356
US

IV. Provider business mailing address

50 WEST ST
PEMBROKE MA
02359-3442
US

V. Phone/Fax

Practice location:
  • Phone: 857-444-1026
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL89397
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: