Healthcare Provider Details

I. General information

NPI: 1982513107
Provider Name (Legal Business Name): ALISHA STADNICKI DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406R WASHINGTON ST
HOLLISTON MA
01746-1342
US

IV. Provider business mailing address

26 MASON RD
NEWTON MA
02459-1506
US

V. Phone/Fax

Practice location:
  • Phone: 508-429-4940
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: