MEDICARE: DR. MICHAEL WILLIAM SARNELLI DPT

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	27922	MA

General Provider Information

NPI Number	:	1366275836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL WILLIAM SARNELLI DPT

Provider Business Mailing Address
First Line	:	32 DAY ST
Second Line	:
City	:	NORWOOD
State	:	MA
Zip	:	02062-3520
Country	:	US
Telephone Number	:	781-769-2040
Fax Number	:

Provider Business Practice Location Address
First Line	:	32 DAY ST
Second Line	:
City	:	NORWOOD
State	:	MA
Zip	:	02062-3520
Country	:	US
Telephone Number	:	781-769-2040
Fax Number	:

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

Provider Enumeration Date	:	08/21/2024
Last Update Date	:	08/21/2024

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