MEDICARE: DR. MICHAEL B BACHNER 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	23355	MA
2	225100000X	Physical Therapist	296846	CA
3	225100000X	Physical Therapist	63553	OR

General Provider Information

NPI Number	:	1932616315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL B BACHNER DPT

Provider Business Mailing Address
First Line	:	PO BOX 322
Second Line	:
City	:	ALLSTON
State	:	MA
Zip	:	02134-0003
Country	:	US
Telephone Number	:	617-787-8700
Fax Number	:	617-787-8106

Provider Business Practice Location Address
First Line	:	1 BRAINTREE ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02134-1602
Country	:	US
Telephone Number	:	617-787-8700
Fax Number	:	617-787-8106

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

Provider Enumeration Date	:	01/06/2018
Last Update Date	:	07/10/2023

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