MEDICARE: MS. SHAINA RAE TOOMEY MSPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	006746	CT
2	225100000X	Physical Therapist	15427	MA

General Provider Information

NPI Number	:	1194198465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHAINA RAE TOOMEY MSPT

Provider Business Mailing Address
First Line	:	101 WATSON LN
Second Line	:
City	:	LUDLOW
State	:	MA
Zip	:	01056-1751
Country	:	US
Telephone Number	:	413-388-9393
Fax Number	:

Provider Business Practice Location Address
First Line	:	96 PROSPECT HILL RD
Second Line	:
City	:	EAST WINDSOR
State	:	CT
Zip	:	06088-9668
Country	:	US
Telephone Number	:	860-623-9846
Fax Number	:	860-393-1887

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2015
Last Update Date	:	11/08/2015

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