Healthcare Provider Details

I. General information

NPI: 1447621305
Provider Name (Legal Business Name): DANA JILL HINDMAN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2015
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

194 NEWBURY ST
PEABODY MA
01960-2421
US

IV. Provider business mailing address

4 RICHMOND SQ
PROVIDENCE RI
02906-5117
US

V. Phone/Fax

Practice location:
  • Phone: 978-587-3058
  • Fax: 844-408-6725
Mailing address:
  • Phone: 401-433-4172
  • Fax: 401-433-0612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number21889
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: