MEDICARE: MARIA G ALATALO PT

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	15804	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	Y68891	OTHER		MEDICARE B

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	042472266	OTHER	PRIVATE HEALTHCARE SYSTEM
3	042472266	OTHER	THREE RIVERS
4	AA4052	OTHER	HARVARD PILGRIM HEALTHCAR
5	786723	OTHER	MVP HEALTH CARE
6	042472266	OTHER	HEALTHCARE VALUE MANAGEME
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	Y67988	OTHER	BLUE SHIELD HMO BLUE
10	7327596	OTHER	AETNA US HEALTHCARE
11	Y67988	OTHER	BLUE SHIELD INDEMNITY
12	2779432	OTHER	CIGNA HEALTH PLAN
13	47074	OTHER	CHILDRENS MEDICAL SECURIT
14	042472266	OTHER	ONE HEALTH PLAN
15	35481155	OTHER	CIGNA HEALTHSOURCE
16	2779432001	OTHER	CIGNA PAL ID
17	61611	OTHER	FALLON COMMUNITY HEALTH
18	Y67988	OTHER	BLUE CARE ELECT

General Provider Information

NPI Number	:	1245219112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA G ALATALO PT

Provider Business Mailing Address
First Line	:	225 NEW LANCASTER RD
Second Line	:
City	:	LEOMINSTER
State	:	MA
Zip	:	01453-4958
Country	:	US
Telephone Number	:	978-840-1900
Fax Number	:	978-840-1263

Provider Business Practice Location Address
First Line	:	225 NEW LANCASTER RD
Second Line	:
City	:	LEOMINSTER
State	:	MA
Zip	:	01453-4958
Country	:	US
Telephone Number	:	978-840-1900
Fax Number	:	978-840-1263

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

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	05/06/2022

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Directions to “ MARIA G ALATALO PT” Practice Location

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