Healthcare Provider Details

I. General information

NPI: 1144864828
Provider Name (Legal Business Name): CARA HARTWELL DPT, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARA GAZIANO DPT

II. Dates (important events)

Enumeration Date: 11/05/2019
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 FINNELL DR
WEYMOUTH MA
02188-1110
US

IV. Provider business mailing address

703 GRANITE ST STE 3
BRAINTREE MA
02184-5350
US

V. Phone/Fax

Practice location:
  • Phone: 781-335-1151
  • Fax: 781-335-7851
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number24664
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: