Healthcare Provider Details

I. General information

NPI: 1972465524
Provider Name (Legal Business Name): ROBERT FURTADO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E WASHINGTON ST
NORTH ATTLEBORO MA
02760-6301
US

IV. Provider business mailing address

500 E WASHINGTON ST
NORTH ATTLEBORO MA
02760-6301
US

V. Phone/Fax

Practice location:
  • Phone: 508-316-0559
  • Fax:
Mailing address:
  • Phone: 508-316-0559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number88840
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: