Healthcare Provider Details

I. General information

NPI: 1306375472
Provider Name (Legal Business Name): DR. MARIA E. STERN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2017
Last Update Date: 07/28/2022
Certification Date: 07/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 VALENTINE RD
PITTSFIELD MA
01201-3042
US

IV. Provider business mailing address

169 VALENTINE RD
PITTSFIELD MA
01201-3042
US

V. Phone/Fax

Practice location:
  • Phone: 413-445-2300
  • Fax:
Mailing address:
  • Phone: 413-445-2300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number040.0133970
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number26213
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number4911
License Number StateNH
# 4
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT4870
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: