Provider Demographics
NPI:1114015906
Name:BIRON, JAMES (PT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:BIRON
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 DENSLOW RD
Mailing Address - Street 2:
Mailing Address - City:EAST LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028-3103
Mailing Address - Country:US
Mailing Address - Phone:413-526-9969
Mailing Address - Fax:413-526-9960
Practice Address - Street 1:80 DENSLOW RD
Practice Address - Street 2:
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-3103
Practice Address - Country:US
Practice Address - Phone:413-526-9969
Practice Address - Fax:413-526-9960
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8522225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA043527497OtherCIGNA GROUP NO
MA043527497OtherCONSOLIDATED
MA043527497OtherGIC/UNICARE
MA043527497OtherGREATWEST
MA043527497OtherUNITED HEALTHCARE
MA080008522MA04OtherANTHEM BC BS
MA11222560OtherCAQH
MA690675OtherTUFTS GROUP NO
MA9715568Medicaid
MA000000035264OtherBOSTON MEDICAL HEALTH NET GROUP NO
MA000000035308OtherBOSTON MEDICAL HEALTH NET INDIVIDUAL NO
MA0359726OtherNETWORK HEALTH GROUP
MA043527OtherCONNECTICARE
MA043527497OtherPIONEER
MA103355100OtherDEPT. OF LABOR
MA468856OtherTUFTS INDIVIDUAL NO
MA7138200OtherCIGNA INDIVIDUAL NO
MA28117OtherHEALTH NEW ENGLAND
MA043527497OtherAETNA
MA0359726Medicaid
MA4543850OtherAETNA INDIVIDUAL NO
MA650021465OtherPALMETTO RR MEDICARE
MAY66897OtherBLUE CROSS BLUE SHIELD INDIVIDUAL NO
MA043527497OtherNORTH REGION/TRICARE
MAP3276069OtherOXFORD NON PAR
MAY61264OtherBLUE CROSS BLUE SHIELD
MA103355100OtherDEPT. OF LABOR
MA9715568Medicaid