Healthcare Provider Details

I. General information

NPI: 1851044853
Provider Name (Legal Business Name): ALLISON K CHISHOLM PT, DPT, CBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2022
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1565 N MAIN ST STE 205
FALL RIVER MA
02720-2972
US

IV. Provider business mailing address

58 GAY ST
SOMERSET MA
02726-5313
US

V. Phone/Fax

Practice location:
  • Phone: 508-324-0328
  • Fax:
Mailing address:
  • Phone: 774-644-9012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number25948
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4936
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5379
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: