Healthcare Provider Details

I. General information

NPI: 1033393343
Provider Name (Legal Business Name): CATHY ENGLISH P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CATHY BURGOYNE P.T.

II. Dates (important events)

Enumeration Date: 12/21/2007
Last Update Date: 12/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

489 BERNARDSTON RD CONCENTRA MEDICAL CENTER
GREENFIELD MA
01301-1234
US

IV. Provider business mailing address

489 BERNARDSTON RD CONCENTRA MEDICAL CENTER
GREENFIELD MA
01301-1234
US

V. Phone/Fax

Practice location:
  • Phone: 413-772-5055
  • Fax: 413-774-9954
Mailing address:
  • Phone: 413-772-5055
  • Fax: 413-774-9954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5879
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number5879
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number5879
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: