Healthcare Provider Details

I. General information

NPI: 1265398002
Provider Name (Legal Business Name): JOHANNA BEGUIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/24/2025
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 ADAMS RD
WILLIAMSTOWN MA
01267-2928
US

IV. Provider business mailing address

54 BAILEY RD
LANESBOROUGH MA
01237-9665
US

V. Phone/Fax

Practice location:
  • Phone: 413-458-2111
  • Fax:
Mailing address:
  • Phone: 413-441-7109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA27987
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: